Organization
TWILIGHT ACRES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA K. BANDOW IV (ADMINISTRATOR)
(712) 664-2488
Entity
Organization
Contact information
Practice address
600 W 6TH ST, WALL LAKE, IA 51466-7006
(712) 664-2488
(712) 664-2698
Mailing address
600 W 6TH ST, WALL LAKE, IA 51466-7006
(712) 664-2488
(712) 664-2698
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
810342
IA
314000000X
Skilled Nursing Facility
Primary
165488
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804039
—
IA
Enumeration date
08/23/2005
Last updated
12/03/2009
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