Organization
CARE INITIATIVES
Active
Other names
Crestview Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization
Contact information
Practice address
451 W ORANGE ST, WEST BRANCH, IA 52358-9709
(319) 643-2551
(319) 643-2139
Mailing address
1611 W LAKES PKWY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
(515) 224-0960
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
160589
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0652875
—
IA
05
—
0729400
—
IA
05
—
0808113
—
IA
Enumeration date
01/26/2006
Last updated
11/10/2022
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