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Organization

PAGE CARE FACILITY

Active
Other names
Terrace View Residential
Organization subpart
No

Provider details

NPI number
Authorized official
BECKY J SMITH (ADMINISTRATOR)
(712) 542-3530
Entity
Organization

Contact information

Practice address
1020 W STATE ST, CLARINDA, IA 51632-1300
(712) 542-3530
(712) 542-2779
Mailing address
1020 W STATE ST, CLARINDA, IA 51632-1300
(712) 542-3530
(712) 542-2779

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
730943
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0739375
IA
Enumeration date
07/30/2007
Last updated
07/30/2007
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