Organization
GRAND HAVEN HOMES, INC.
Active
Other names
Linn Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRI NILES (ADMINISTRATOR)
(319) 377-4611
Entity
Organization
Contact information
Practice address
1140 ELIM DR, MARION, IA 52302-5817
(319) 377-4611
(319) 377-4612
Mailing address
1140 ELIM DR, MARION, IA 52302-5817
(319) 377-4611
(319) 377-4612
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-847
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805549
—
IA
Enumeration date
06/14/2005
Last updated
12/08/2014
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