Organization
ROTARY CLUB OF EAGLE GROVE HOME INC
Active
Other names
Rotary Ann Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MORRIS (ADMINISTRATOR)
(515) 448-5124
Entity
Organization
Contact information
Practice address
500 S BLAINE AVE, EAGLE GROVE, IA 50533-2429
(515) 448-5123
Mailing address
620 SE 5TH ST, EAGLE GROVE, IA 50533-2477
(515) 448-5124
(515) 448-5167
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
990615
IA
314000000X
Skilled Nursing Facility
Primary
990337
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803536
—
IA
05
—
0891549
—
IA
Enumeration date
10/07/2005
Last updated
08/11/2010
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