Organization
ROSE VISTA HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON SHERER (ASST. ADMINISTRATOR)
(712) 647-2010
Entity
Organization
Contact information
Practice address
1109 NORMAL ST, WOODBINE, IA 51579-1091
(712) 647-2010
(712) 647-3235
Mailing address
1109 NORMAL ST, P.O. BOX 6, WOODBINE, IA 51579-1091
(712) 647-2010
(712) 647-3235
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-306
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803510
—
IA
Enumeration date
09/26/2005
Last updated
10/10/2011
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