# TRIPOLI NURSING AND REHAB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932161106
- **Authorized official:** HEATHER SELLS (ADMINISTRATOR)
- **Authorized official phone:** (319) 882-4269

## Contact information

- **Practice address:** 604 3RD STREET SW, TRIPOLI, IA 50676-9614
- **Practice address phone:** (319) 882-4269
- **Practice address fax:** (319) 882-3511
- **Mailing address:** 604 3RD STREET SW, TRIPOLI, IA 50676-9614
- **Mailing address phone:** (319) 882-4269
- **Mailing address fax:** (319) 882-3511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N-393 | IA | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 08/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0804021 | — | IA |
| 01 | — | 65494 | WELLMARK BC/BS | IA |
