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Organization

SHELL ROCK HEALTHCARE CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization

Contact information

Practice address
920 N CHERRY ST, SHELL ROCK, IA 50670-9760
(319) 885-4341
Mailing address
920 N CHERRY ST, SHELL ROCK, IA 50670-9760

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N086
IA
314000000X
Skilled Nursing Facility
Primary
N-086
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
108903
IA
01
165309
BLUE CROSS
IA
01
651190
COMBINED INSURANCE
IA
Enumeration date
10/10/2005
Last updated
10/14/2008
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