Organization
COUNTRY VIEW MANOR INC
Active
Other names
Country View Manor Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN J POPPEN (PRESIDENT)
(712) 754-2568
Entity
Organization
Contact information
Practice address
100 CEDAR LANE, SIBLEY, IA 51249-1055
(712) 754-2568
(712) 754-2560
Mailing address
100 CEDAR LANE, SIBLEY, IA 51249-1055
(712) 754-2568
(712) 754-2560
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
720464
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
16E365
—
IA
Enumeration date
07/01/2005
Last updated
05/16/2012
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