Organization
MANOR CARE OF DAVENPORT IA, LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
815 E LOCUST ST, DAVENPORT, IA 52803-4345
(563) 324-3276
(563) 324-8844
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
820400
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800002
—
IA
Enumeration date
06/03/2006
Last updated
04/06/2023
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