Organization
IMMANUEL LONG TERM CARE
Active
Other names
Deerfield Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC N GURLEY (PRESIDENT & CEO)
(402) 829-2950
Entity
Organization
Contact information
Practice address
13731 HICKMAN RD, URBANDALE, IA 50323-2193
(515) 267-0438
Mailing address
1044 N 115TH ST STE 500, OMAHA, NE 68154-4410
(402) 829-2937
(402) 829-2939
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
06/09/2021
Last updated
03/16/2022
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