Organization
PAGE CARE FACILITY
Active
Other names
Terrace View Residential
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BECKY J SMITH (ADMINISTRATOR)
(712) 542-3530
Entity
Organization
Contact information
Practice address
1020 W STATE ST, CLARINDA, IA 51632-1300
(712) 542-3530
Mailing address
1020 W STATE ST, CLARINDA, IA 51632-1300
(712) 542-3530
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
730943
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234500
—
IA
05
—
0738914
—
IA
05
—
0894675
—
IA
Enumeration date
02/27/2007
Last updated
08/22/2020
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