Organization
CRYSTAL INC
Active
Other names
Karen Acres Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY LANGE (OWNER)
(515) 223-0758
Entity
Organization
Contact information
Practice address
3605 ELM DR, URBANDALE, IA 50322-3019
(515) 276-4969
(515) 276-6612
Mailing address
3605 ELM DR, URBANDALE, IA 50322-3019
(515) 276-4969
(515) 276-6612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770275
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808824
—
IA
Enumeration date
10/25/2006
Last updated
08/08/2012
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