Organization
ABCM CORPORATION
Active
Other names
Rolling Green Village
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ROBERTS (CFO)
(641) 456-5636
Entity
Organization
Contact information
Practice address
100 6TH ST, NEVADA, IA 50201-2502
(515) 382-6556
(515) 382-1425
Mailing address
1320 4TH ST NE, HAMPTON, IA 50441-1104
(641) 456-5636
(641) 456-2320
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
850819
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802959
—
IA
01
—
65361
WELLMARK
IA
Enumeration date
08/15/2005
Last updated
10/19/2010
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