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Organization

HILLCREST HOME, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JUNEVER L. HEYING RN (ADMINISTRATOR)
(563) 578-8591
Entity
Organization

Contact information

Practice address
915 W 1ST ST, SUMNER, IA 50674-1271
(563) 578-8591
(563) 578-8091
Mailing address
915 W 1ST ST, SUMNER, IA 50674-1271
(563) 578-8591
(563) 578-8091

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16E043
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0801902
IA
01
65502
BCBS PROVIDER #
IA
Enumeration date
08/21/2006
Last updated
11/03/2011
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