| NPI | 1861484271 |
|---|---|
| Doing Business As | RIDGECREST VILLAGE |
| Entity Type | Organization |
| Authorized Contact | BERT VIGEN Executive Director 563-391-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA N0407) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N0407) |
| 310400000X Assisted Living Facility (Licence: IA S0139) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: IA S0139) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2012-01-03 |