Organization
PLEASANT CARE PARTNERS LLP
Active
Other names
Greenwood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NICHOLLS (OWNER)
(319) 338-7912
Entity
Organization
Contact information
Practice address
605 GREENWOOD DR, IOWA CITY, IA 52246-2121
(319) 325-3316
(319) 351-9225
Mailing address
605 GREENWOOD DR, IOWA CITY, IA 52246-2121
(319) 338-7912
(319) 351-9225
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
520101
IA
385H00000X
Respite Care
520101
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0449355
—
IA
05
—
0804526
—
IA
01
—
65172
BCBS PROVIDER #
IA
Enumeration date
11/13/2006
Last updated
11/18/2010
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