Organization
PRIME NURSING AND REHABILITATION CENTER, LLC
Active
Other names
Prime Nursing & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R GROSENHEIDER (MANAGING MEMBER)
(712) 540-3332
Entity
Organization
Contact information
Practice address
600 E 5TH ST, DES MOINES, IA 50309-5418
(515) 243-6195
(515) 243-6913
Mailing address
600 E 5TH ST, DES MOINES, IA 50309-5418
(515) 243-6195
(515) 243-6913
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770236
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800013
—
IA
Enumeration date
06/26/2007
Last updated
11/26/2013
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