Organization
COLONIAL MANORS OF MANILLA INC
Active
Other names
Manilla Manor
Organization subpart
No
Provider details
NPI number
Authorized official
DIXIE CHRISTENSEN (ADMINISTRATOR)
(712) 654-6812
Entity
Organization
Contact information
Practice address
146 NORTH 5TH STREET, MANILLA, IA 51454-7706
(712) 654-6812
(712) 654-6800
Mailing address
PO BOX 490, MANILLA, IA 51454-7706
(712) 654-6812
(712) 654-6800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
240486
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802405
—
IA
Enumeration date
08/21/2006
Last updated
05/20/2014
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