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NPI Code Detail

MEDICARE: ROSE HAVEN NURSING HOME INC.

MEDICARE: ROSE HAVEN 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
1313M00000XNursing Facility/Intermediate Care FacilityN-183IA

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 : 1578559142
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROSE HAVEN NURSING HOME INC.
Provider Business Mailing Address
First Line : 1500 FRANKLYN AVE
Second Line :
City : MARENGO
State : IA
Zip : 52301-1312
Country : US
Telephone Number : 319-642-5533
Fax Number : 319-642-3822
Provider Business Practice Location Address
First Line : 1500 FRANKLYN AVE
Second Line :
City : MARENGO
State : IA
Zip : 52301-1312
Country : US
Telephone Number : 319-642-5533
Fax Number : 319-642-3822
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. DAVID OWEN YEARIAN
Credential :
Telephone Number : 319-642-5533
Provider Enumeration Date : 09/20/2005
Last Update Date : 08/22/2020

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Directions to “ROSE HAVEN NURSING HOME INC. ” Practice Location

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