Organization
KEYSTONE NURSING CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY LYNN HANSON RN BSN ADMINISTRATOR (ADMINISTRATOR)
(319) 442-3234
Entity
Organization
Contact information
Practice address
250 5TH ST E, KEYSTONE, IA 52249-9521
(319) 442-3234
(319) 442-3550
Mailing address
250 5TH ST E, KEYSTONE, IA 52249-9521
(319) 442-3234
(319) 442-3550
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
N263
IA
314000000X
Skilled Nursing Facility
Primary
160604
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802140
—
IA
Enumeration date
08/30/2005
Last updated
09/11/2018
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