NPI | 1942672613 |
---|---|
Doing Business As | ROSE HAVEN NURSING HOME |
Entity Type | Organization |
Authorized Contact | SHANE MICHAEL SISSEL Owner 563-260-2729 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2015-10-21 |
Last Update Date | 2016-05-27 |