Organization
OTTUMWA DEVELOPMENTS INC
Active
Other names
Vista Woods Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD L STURSMA (ADMINISTRATOR)
(641) 683-3372
Entity
Organization
Contact information
Practice address
3 PENNSYLVANIA PL, OTTUMWA, IA 52501-2165
(641) 683-3372
(641) 683-1031
Mailing address
3 PENNSYLVANIA PL, OTTUMWA, IA 52501-2165
(641) 683-3372
(641) 683-1031
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
N687
IA
314000000X
Skilled Nursing Facility
Primary
N687
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809012
—
IA
Enumeration date
09/26/2005
Last updated
09/19/2012
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