| NPI | 1649242074 |
|---|---|
| Doing Business As | BLACKHAWK LIFE CARE CENTER |
| Other Name | BLACK HAWK LIFE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | LINDA K. JUCKETTE President 515-223-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-547) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 810547) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2022-01-11 |