Organization
COMMUNITY CARE CENTER INC
Active
Other names
Community Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARADITH ANETTE JANSSEN (ADMINISTRATOR)
(515) 523-2815
Entity
Organization
Contact information
Practice address
325 SW 7TH ST, STUART, IA 50250-2098
(515) 523-2815
(515) 523-9123
Mailing address
325 SW 7TH ST, STUART, IA 50250-2098
(515) 523-2815
(515) 523-9123
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0147108
ELDERLY WAIVER
IA
05
—
0800813
—
IA
Enumeration date
08/24/2005
Last updated
04/15/2021
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