Organization
JP SENIOR HEALTHCARE LLC
Active
Other names
GOLDENROD MANOR CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P DEWITT (CFO)
(712) 542-5621
Entity
Organization
Contact information
Practice address
225 W LAPERLA DR, CLARINDA, IA 51632-3002
(712) 542-5621
(712) 542-4235
Mailing address
225 W LAPERLA DR, CLARINDA, IA 51632-3002
(712) 542-5621
(712) 542-4235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
730781
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800044
—
IA
Enumeration date
06/14/2005
Last updated
08/21/2012
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