Organization
CARE INITIATIVES
Active
Other names
Kingsley Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization
Contact information
Practice address
305 W 3RD ST, KINGSLEY, IA 51028-5064
(515) 224-4442
(712) 378-3522
Mailing address
1611 WEST LAKES PARKWAY, WEST DES MOINES, IA 50266
(515) 224-4442
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
750184
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0653295
—
IA
05
—
0808048
—
IA
Enumeration date
01/26/2006
Last updated
10/26/2022
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