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Organization

WINDSOR MANOR

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BETHANY CLEMENSON (RN MANAGER)
(319) 472-2060
Entity
Organization

Contact information

Practice address
1807 W 5TH STREET, VINTON, IA 52349
(319) 472-2060
Mailing address
1807 W 5TH STREET, VINTON, IA 52349
(319) 472-2060

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0749945
IA
Enumeration date
05/03/2007
Last updated
07/21/2022
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