Organization
COUNTY OF DUBUQUE
Active
Other names
Sunnycrest Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHRYN M. HEDLEY NURSING HOME ADMINIS (ADMINISTRATOR)
(563) 583-1781
Entity
Organization
Contact information
Practice address
2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
(563) 583-1781
(563) 583-1705
Mailing address
2375 ROOSEVELT ST, DUBUQUE, IA 52001-1479
(563) 583-1781
(563) 583-1705
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
310304
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
310304
IA
314000000X
Skilled Nursing Facility
310304
IA
315P00000X
Intellectual Disabilities Intermediate Care Facility
IMR-304
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803866
—
IA
Enumeration date
07/07/2005
Last updated
11/01/2011
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