Organization
REGENCY PARK NURSING AND REHABILITATION CENTER OF JEFFERON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ALLEN CARPENTER NHA (ADMINISTRATOR)
(515) 386-4107
Entity
Organization
Contact information
Practice address
100 RAM DR, JEFFERSON, IA 50129-2728
(515) 386-4107
(515) 386-2347
Mailing address
100 RAM DR, JEFFERSON, IA 50129-2728
(515) 386-4107
(515) 386-2347
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
370034
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0650390
—
IA
Enumeration date
01/09/2007
Last updated
08/22/2020
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