Organization
BROOKLYN COMMUNITY ESTATE, INC.
Active
Other names
Brooklyn Community Estates
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE MICHAEL SISSEL M.S.W. (OWNER/ADMINISTRATOR)
(641) 522-9263
Entity
Organization
Contact information
Practice address
406 NORTH ST, BROOKLYN, IA 52211-9444
(641) 522-9263
(641) 522-5684
Mailing address
406 NORTH ST, BROOKLYN, IA 52211-9444
(641) 522-9263
(641) 522-5684
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
790412
IA
314000000X
Skilled Nursing Facility
Primary
790412
IA
Other
Enumeration date
09/08/2005
Last updated
01/02/2013
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