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Organization

PARKVIEW MANOR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATHLEEN CONWAY NIEDERT PHD (ADMINISTRATOR)
(319) 345-6811
Entity
Organization

Contact information

Practice address
1009 3RD STREET, REINBECK, IA 50669-1157
(319) 345-6811
(319) 345-2624
Mailing address
1009 3RD STREET, REINBECK, IA 50669-1157
(319) 345-6811
(319) 345-2624

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
165522
IA
314000000X
Skilled Nursing Facility
0386
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0490847
IA
05
0803148
IA
Enumeration date
08/02/2006
Last updated
08/24/2011
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