Organization
NELSON NURSING HOME CORP
Active
Other names
Nelson Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
KEN NELSON (OWNER)
(641) 472-6126
Entity
Organization
Contact information
Practice address
807-809 WEST TAYLOR, FAIRFIELD, IA 52556
(641) 472-6126
(641) 472-6126
Mailing address
807-809 WEST TAYLOR, FAIRFIELD, IA 52556
(641) 472-6126
(641) 472-6126
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
510212
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802793
—
IA
01
—
65526
BCBS PROVIDER #
IA
Enumeration date
10/30/2006
Last updated
09/17/2008
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