Organization
TRIPOLI NURSING AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SELLS (ADMINISTRATOR)
(319) 882-4269
Entity
Organization
Contact information
Practice address
604 3RD STREET SW, TRIPOLI, IA 50676-9614
(319) 882-4269
(319) 882-3511
Mailing address
604 3RD STREET SW, TRIPOLI, IA 50676-9614
(319) 882-4269
(319) 882-3511
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N-393
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804021
—
IA
01
—
65494
WELLMARK BC/BS
IA
Enumeration date
04/04/2006
Last updated
08/15/2013
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