Organization
COLONIAL MANOR OF AMANA INC
Active
Other names
Colonial Manor of Amana
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E WILKES (PRESIDENT)
(319) 626-4710
Entity
Organization
Contact information
Practice address
3207 220TH TRL, AMANA, IA 52203-8206
(319) 622-3131
(319) 622-6458
Mailing address
3207 220TH TRL, AMANA, IA 52203-8206
(319) 622-3131
(319) 622-6458
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
480217
IA
314000000X
Skilled Nursing Facility
Primary
480217
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800656
—
IA
Enumeration date
08/24/2005
Last updated
08/26/2021
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