NPI 1104825876

Countryside Retirement Home of Sioux City, Iowa

Organisation Nursing Facility/Intermediate Care Facility Sioux City, IA

Practice location

Address: 6120 Morningside Ave, Sioux City, IA 51106-3943
Phone: (712) 276-3000
Fax: (712) 266-2167

Authorised official

Name: Debbie Menzenberg
Title: Executive Director
Phone: (712) 276-3000

Registered specialties (2)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence N-0370 (IA)

Other Nursing Facility/Intermediate Care Facility providers in Iowa →

Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence R-0370 (IA)

Other Custodial Care Facility providers in Iowa →

Registry record

NPI: 1104825876
Entity type: Organization
NPI issued: 15 Jul 2005
Record last updated: 11 Sep 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.