Organization
CARE INITIATIVES
Active
Other names
Centerville Specialty Care
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization
Contact information
Practice address
1208 E CROSS ST, CENTERVILLE, IA 52544-3501
(641) 856-8651
(641) 856-6430
Mailing address
1611 W LAKES PKWY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040578
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807974
—
IA
Enumeration date
01/25/2006
Last updated
11/10/2022
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