Organization
FIVE STAR QUALITY CARE IA LLC
Active
Parent organization
FIVE STAR QUALITY CARE IA LLC
Other names
Westridge Quality Care & Rehab
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE IA LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
600 MANOR DR, CLARINDA, IA 51632-2444
(712) 542-5161
(712) 542-3430
Mailing address
600 MANOR DR, CLARINDA, IA 51632-2444
(712) 542-5161
(712) 542-3430
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
730816
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805374
—
IA
Enumeration date
05/26/2006
Last updated
03/28/2019
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