Organization
CARE INITIATIVES
Active
Other names
Odebolt Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization
Contact information
Practice address
801 S DES MOINES ST, ODEBOLT, IA 51458-1017
(712) 668-4867
(712) 668-2624
Mailing address
1611 W LAKES PKWY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
(515) 224-0960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
810297
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651802
—
IA
05
—
0808063
—
IA
Enumeration date
01/26/2006
Last updated
11/09/2022
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