Whalio Doctors

NPI 1023005105

Marjan Management Services LTD

Organisation Skilled Nursing Facility Cedar Rapids, IA

Practice location

Address
6420 Council St NE, Cedar Rapids, IA 52402-1129
Phone
(319) 393-1447
Fax
(319) 378-9533

Authorised official

Name
Mark Dwight Tague
Title
Owner Pres Administrator
Phone
(319) 393-1447

Registered specialties (2)

Skilled Nursing Facility Primary
Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 720 (IA)
Nursing Facility/Intermediate Care Facility
Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 720 (IA)

Registry record

NPI
1023005105
Entity type
Organization
NPI issued
4 Oct 2005
Record last updated
28 Dec 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.