Organization
FEJERVARY HEALTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEB CLARK (DIRECTOR OF OPERATIONS)
(563) 322-1668
Entity
Organization
Contact information
Practice address
800 E RUSHOLME ST, DAVENPORT, IA 52803-2547
(563) 322-1668
(563) 322-1811
Mailing address
800 E RUSHOLME ST, DAVENPORT, IA 52803-2547
(563) 322-1668
(563) 322-1811
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
165436
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804484
—
IA
Enumeration date
07/11/2006
Last updated
08/22/2020
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