NPI 1073347902

Country Lane Manor LLC

Organisation Skilled Nursing Facility Keosauqua, IA

Practice location

Address: 819 Country Lane Rd, Keosauqua, IA 52565-1001
Phone: (319) 293-3761

Authorised official

Name: Joseph Glatzer
Title: Authorized Representative
Phone: (848) 757-0550

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

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Registry record

NPI: 1073347902
Entity type: Organization
NPI issued: 2 Sep 2024
Record last updated: 2 Sep 2024

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.