Organization
SPURGEON MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN MARIE CAHILL (ADMINISTRATOR)
(515) 992-3735
Entity
Organization
Contact information
Practice address
1204 LINDEN ST, DALLAS CENTER, IA 50063-1052
(515) 992-3735
(515) 992-3098
Mailing address
1204 LINDEN ST, DALLAS CENTER, IA 50063-1052
(515) 992-3735
(515) 992-3098
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
N-199
IA
314000000X
Skilled Nursing Facility
Primary
N-199
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806133
—
IA
Enumeration date
03/16/2007
Last updated
05/01/2009
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