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Organization

AMERICAN BAPTIST HOMES OF THE MIDWEST

Active
Other names
Elmcrest Retirement Community
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA R KOTZ (DIRECTOR OF RESIDENT RECEIVABLES)
(402) 639-3008
Entity
Organization

Contact information

Practice address
2104 12TH ST, HARLAN, IA 51537-2023
(712) 755-5174
(712) 755-5654
Mailing address
2104 12TH ST, HARLAN, IA 51537-2023
(712) 755-5174
(712) 755-5654

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0800151
IA
Enumeration date
10/06/2005
Last updated
07/21/2022
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