Organization
MANOR CARE OF WATERLOO IA, LLC
Active
Other names
ProMedica Skilled Nursing and Rehabilitation (Waterloo)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
201 W RIDGEWAY AVE, WATERLOO, IA 50701-4235
(319) 234-7777
(319) 234-6671
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NF-361
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800005
—
IA
Enumeration date
06/03/2006
Last updated
04/06/2023
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