Organization
KEYSTONE NURSING CARE CENTER, INC
Active
Other names
Keystone Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY LYNN HANSON R. N. (ADMINISTRATOR)
(319) 442-3234
Entity
Organization
Contact information
Practice address
280 5TH ST, SUITE 2, KEYSTONE, IA 52249-9533
(319) 442-3234
(319) 442-3550
Mailing address
280 5TH ST APT 2, KEYSTONE, IA 52249-9533
(319) 442-3650
(319) 442-3550
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
N263
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802140
—
IA
Enumeration date
11/13/2013
Last updated
09/11/2018
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