Organization
MARJAN MANAGEMENT SERVICES LTD
Active
Other names
Northbrook Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DWIGHT TAGUE NHA (OWNER PRES ADMINISTRATOR)
(319) 393-1447
Entity
Organization
Contact information
Practice address
6420 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-1129
(319) 393-1447
(319) 378-9533
Mailing address
6420 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-1129
(319) 393-1447
(319) 378-9533
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
720
IA
314000000X
Skilled Nursing Facility
Primary
720
IA
Other
Enumeration date
10/04/2005
Last updated
12/28/2009
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