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Organization

KAHL HOME FOR THE AGED & INFIRM

Active
Other names
Kahl Home for the Aged & Infirm
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY HUFSEY (ADMINISTRATOR/TREASURER)
(563) 484-3813
Entity
Organization

Contact information

Practice address
6701 JERSEY RIDGE ROAD, DAVENPORT, IA 52807
(563) 324-1621
(563) 324-1723
Mailing address
6701 JERSEY RIDGE ROAD, DAVENPORT, IA 52807-3203
(563) 324-1621
(563) 324-1723

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
820128
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0802108
IA
01
165146
WELLMARK BLUE CROSS
IA
Enumeration date
05/28/2005
Last updated
08/30/2018
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