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NPI Code Detail

MEDICARE: ROCKWELL COMMUNITY NURSING HOME, INC

MEDICARE: ROCKWELL COMMUNITY NURSING HOME, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility165406IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295728319
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROCKWELL COMMUNITY NURSING HOME, INC
Provider Business Mailing Address
First Line : 707 ELM ST E
Second Line :
City : ROCKWELL
State : IA
Zip : 50469-1035
Country : US
Telephone Number : 641-822-3203
Fax Number : 641-822-3201
Provider Business Practice Location Address
First Line : 707 ELM ST E
Second Line :
City : ROCKWELL
State : IA
Zip : 50469-1035
Country : US
Telephone Number : 641-822-3203
Fax Number : 641-822-3201
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. SUSAN MARIE ADAMS
Credential :
Telephone Number : 641-822-3203
Provider Enumeration Date : 08/24/2005
Last Update Date : 11/13/2009

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Directions to “ROCKWELL COMMUNITY NURSING HOME, INC ” Practice Location

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