Organization
MAKEE MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN ELLINGSON (ADMINISTRATOR)
(563) 568-4266
Entity
Organization
Contact information
Practice address
877 HIGHWAY 9, WAUKON, IA 52172-7757
(563) 568-4266
(563) 568-6986
Mailing address
877 HIGHWAY 9, WAUKON, IA 52172-7757
(563) 568-4266
(563) 568-6986
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
030709
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233387
—
IA
05
—
0450676
—
IA
05
—
0746933
—
IA
05
—
0895748
—
IA
Enumeration date
02/13/2007
Last updated
08/22/2020
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