Organization
CRYSTAL PROPERTIES INC
Active
Other names
Regency Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY LANGE (OWNER)
(515) 223-0758
Entity
Organization
Contact information
Practice address
815 HIGH RD, NORWALK, IA 50211-1462
(515) 223-0758
(515) 223-9499
Mailing address
815 HIGH RD, NORWALK, IA 50211-1462
(515) 223-0758
(515) 223-9499
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
S0232
IA
314000000X
Skilled Nursing Facility
Primary
910845
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049533
—
IA
05
—
0805440
—
IA
01
—
65399
BCBS PROVIDER #
IA
Enumeration date
10/25/2006
Last updated
12/17/2009
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