Organization
CLARENCE NURSING HOME INC
Active
Other names
Clarence Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL DIRCKS (PRESIDENT)
(563) 452-3262
Entity
Organization
Contact information
Practice address
402 2ND AVE, PO BOX H, CLARENCE, IA 52216-9754
(563) 452-3262
(563) 452-3848
Mailing address
402 2ND AVE, CLARENCE, IA 52216-9754
(563) 452-3262
(563) 452-3848
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N149
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800599
—
IA
Enumeration date
11/23/2005
Last updated
12/23/2021
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