Organization
JP MANOR LLC
Active
Other names
Pocahontas Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH PATRICK DEWITT (VICE PRESIDENT)
(712) 754-7312
Entity
Organization
Contact information
Practice address
700 NW 7TH ST, POCAHONTAS, IA 50574-2206
(712) 335-3387
(712) 335-4009
Mailing address
3913 SYLVIAN AVE, SIOUX CITY, IA 51104-1325
(712) 574-7312
(712) 277-8313
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
760036
IA
Other
Enumeration date
08/24/2012
Last updated
08/24/2012
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