Organization
MANOR OF MALVERN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MORSE BOLTON (ADMINISTRATOR/PRESIDENT)
(712) 624-8661
Entity
Organization
Contact information
Practice address
903 2ND AVE, MALVERN, IA 51551-4059
(712) 624-8661
(712) 624-8127
Mailing address
903 2ND AVE, MALVERN, IA 51551-4059
(712) 624-8661
(712) 624-8127
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807834
—
IA
Enumeration date
04/20/2006
Last updated
03/17/2010
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