Organization
TABOR MANOR CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD B WORCESTER (ADMINISTRATOR)
(712) 629-2645
Entity
Organization
Contact information
Practice address
209 MAIN ST, TABOR, IA 51653
(712) 629-2645
(712) 629-6665
Mailing address
PO BOX 180, 209 MAIN ST, TABOR, IA 51653
(712) 629-2645
(712) 629-6665
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
314000000X
Skilled Nursing Facility
360577
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803957
—
IA
Enumeration date
09/21/2006
Last updated
09/11/2025
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