Organization
SIMPSON MEMORIAL HOME INC
Active
Other names
Simpson Memorial Home Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DERWOOD G KEITH (PRESIDENT)
(319) 627-4775
Entity
Organization
Contact information
Practice address
1000 N MILLER ST, WEST LIBERTY, IA 52776-1102
(319) 627-4775
(319) 627-4738
Mailing address
1000 N MILLER ST, WEST LIBERTY, IA 52776-1102
(319) 627-4775
(319) 627-4738
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
700230
IA
314000000X
Skilled Nursing Facility
S0187
IA
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803684
—
IA
Enumeration date
09/29/2005
Last updated
11/29/2011
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