Organization
WHITING COMMERCIAL DEVELOPMENT CORP
Active
Other names
Pleasant View
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHRYN COLLEEN KEANE NHA # 075659 (ADMINISTRATOR)
(712) 458-2417
Entity
Organization
Contact information
Practice address
200 SHANNON DR., WHITING, IA 51063
(712) 458-2417
(712) 458-2179
Mailing address
200 SHANNON DR., WHITING, IA 51063
(712) 458-2417
(712) 458-2179
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
670072
IA
310400000X
Assisted Living Facility
S0149
IA
311500000X
Alzheimer Center (Dementia Center)
670072
IA
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
670072
IA
314000000X
Skilled Nursing Facility
670072
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0181636
—
IA
05
—
0652966
—
IA
05
—
0803254
—
IA
01
—
65296
WELLMARK BC/BS
—
01
—
71-00353
UNTIED HEALTHCARE
IA
01
—
F247014
MIDLANDS CHOICE
IA
Enumeration date
09/22/2005
Last updated
01/20/2015
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