# PRAIRIE VIEW

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

## Provider details

- **NPI number:** 1932193059
- **Authorized official:** WENDY NELSON (ADMINISTRATOR)
- **Authorized official phone:** (712) 930-3228

## Contact information

- **Practice address:** 610 N EASTERN ST, SANBORN, IA 51248-1089
- **Practice address phone:** (712) 930-3228
- **Practice address fax:** (712) 930-3138
- **Mailing address:** 610 N EASTERN ST, SANBORN, IA 51248-1089
- **Mailing address phone:** (712) 930-3228
- **Mailing address fax:** (712) 930-3138

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N-410 | IA | Yes |

## Other

- **Enumeration date:** 09/02/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0803320 | — | IA |