Organization
KISMET IDG, LLC
Active
Other names
Morningside Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MOORE (CFO)
(605) 642-7736
Entity
Organization
Contact information
Practice address
600 MORNINGSIDE AVE, IDA GROVE, IA 51445-1637
(712) 364-3327
Mailing address
600 MORNINGSIDE AVE, IDA GROVE, IA 51445-1637
(712) 364-3327
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
470912
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427059757
—
IA
Enumeration date
08/09/2005
Last updated
01/22/2019
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