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Organization

CARE INITIATIVES

Active
Other names
State Center Specialty Care
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID DIXON (SVP/CFO)
(515) 224-4442
Entity
Organization

Contact information

Practice address
702 3RD ST NW, STATE CENTER, IA 50247-1012
(641) 483-2812
(641) 483-2522
Mailing address
1611 W LAKES PKWY, WEST DES MOINES, IA 50266-8212
(515) 224-4442
(515) 224-0960

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
640152
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0220426
IA
05
0650226
IA
05
0805317
IA
Enumeration date
02/09/2006
Last updated
11/10/2022
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