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Organization

HOLY SPIRIT RETIREMENT HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER MESS DON (INTERIM EXECUTIVE DIRECTOR)
(712) 244-9980
Entity
Organization

Contact information

Practice address
1701 W 25TH ST, SIOUX CITY, IA 51103-1705
(712) 252-2726
Mailing address
1701 W 25TH ST, SIOUX CITY, IA 51103-1705
(712) 252-2726

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0145
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
801997
IA
Enumeration date
10/17/2005
Last updated
02/06/2025
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