Organization
PARK VIEW CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA TISDEL (ADMINISTRATOR)
(319) 752-4525
Entity
Organization
Contact information
Practice address
715 SHOQUOQUON DR, BURLINGTON, IA 52601-6634
(319) 752-4525
(319) 752-9625
Mailing address
715 SHOQUOQUON DR, BURLINGTON, IA 52601-6634
(319) 752-4525
(319) 752-9625
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
290250
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804997
—
IA
01
—
65212
WELLMARK BLUE CROSS
IA
Enumeration date
01/26/2006
Last updated
08/22/2020
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