Organization
POCAHONTAS MANOR CORPORATION
Active
Other names
Pocahontas Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF M BURNS (OWNER/PRESIDENT)
(480) 215-8611
Entity
Organization
Contact information
Practice address
700 NW 7TH ST, POCAHONTAS, IA 50574-2206
(712) 335-3386
(712) 335-4009
Mailing address
700 NW 7TH ST, POCAHONTAS, IA 50574-2206
(712) 335-3386
(712) 335-4009
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
760036
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0806570
—
IA
Enumeration date
01/23/2006
Last updated
10/20/2011
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