Organization
WESTHAVEN COMMUNITY A MINISTRY OF THE EVANGELICAL FREE CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY R SLOAN N.H.A (ADMINISTRATOR)
(515) 432-1393
Entity
Organization
Contact information
Practice address
112 W 4TH ST, BOONE, IA 50036-3305
(515) 432-1393
(515) 432-7882
Mailing address
112 W 4TH ST, BOONE, IA 50036-3305
(515) 432-1393
(515) 432-7882
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801191
—
IA
Enumeration date
10/25/2006
Last updated
04/20/2011
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