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Organization

HILLSIDE ESTATE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY VAN PATTEN (ADMINSTRATOR)
(319) 668-1659
Entity
Organization

Contact information

Practice address
2227 225TH ST, WILLIAMSBURG, IA 52361-8503
(319) 668-1659
(319) 668-9863
Mailing address
2227 225TH ST, WILLIAMSBURG, IA 52361-8503
(319) 668-1659
(319) 668-9863

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
R-653
IA
311ZA0620X
Adult Care Home Facility
R-653
IA
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
R-653
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0258624
IA
05
0455170
IA
05
0895219
IA
Enumeration date
01/19/2007
Last updated
09/11/2025
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