Organization
REGAL MANORS OF GRINNELL INC
Active
Other names
Friendship Manor Care Centre
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH P DEWITT (CFO)
(605) 217-6000
Entity
Organization
Contact information
Practice address
79 6TH AVE, GRINNELL, IA 50112-1802
(641) 236-6511
(641) 236-6713
Mailing address
415 6TH AVE, GRINNELL, IA 50112-1955
(641) 236-6511
(641) 236-6713
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807123
—
IA
Enumeration date
04/06/2006
Last updated
06/15/2011
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