Organization
FRIENDSHIP HOME ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GROSS (ADMINISTRATOR)
(712) 563-2651
Entity
Organization
Contact information
Practice address
714 N DIVISION ST, AUDUBON, IA 50025-1362
(712) 563-2651
(712) 563-2342
Mailing address
714 N DIVISION ST, AUDUBON, IA 50025-1362
(712) 563-2651
(712) 563-2342
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
0890160
IA
313M00000X
Nursing Facility/Intermediate Care Facility
0801316
IA
314000000X
Skilled Nursing Facility
Primary
165232
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801316
—
IA
05
—
0890160
—
IA
Enumeration date
11/01/2005
Last updated
09/11/2025
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