NPI | 1215934955 |
---|---|
Doing Business As | SUNNYCREST MANOR |
Entity Type | Organization |
Authorized Contact | CATHRYN M. HEDLEY Administrator 563-583-1781 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 310304) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 310304) |
315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IA IMR-304) | |
311Z00000X Custodial Care Facility (Licence: IA 310304) | |
Enumeration Date | 2005-07-07 |
Last Update Date | 2011-11-01 |