Organization
CLARENCE NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MATTHEW TJADEN (CEO)
(563) 452-3262
Entity
Organization
Contact information
Practice address
402 2ND AVE, CLARENCE, IA 52216-9754
(563) 452-3262
(563) 452-3268
Mailing address
402 2ND AVE, PO BOX 485, CLARENCE, IA 52216-9754
(563) 452-3262
(563) 452-3268
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0329
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165590
—
IA
Enumeration date
10/13/2014
Last updated
10/13/2014
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