Organization
OTTUMWA DEVELOPMENT
Active
Other names
Ottumwa Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HELEN J BROERMAN (ADMINISTRATOR)
(641) 684-4594
Entity
Organization
Contact information
Practice address
927 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
(641) 684-4594
(641) 684-9519
Mailing address
927 PENNSYLVANIA AVE, OTTUMWA, IA 52501-2138
(641) 684-4594
(641) 684-9519
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
900432
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803056
—
IA
Enumeration date
09/26/2005
Last updated
08/22/2020
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