NPI 1215934955

County of Dubuque

Organisation Nursing Facility/Intermediate Care Facility Dubuque, IA

Practice location

Address: 2375 Roosevelt St, Dubuque, IA 52001-1479
Phone: (563) 583-1781
Fax: (563) 583-1705

Authorised official

Name: Cathryn M. Hedley
Title: Administrator
Phone: (563) 583-1781

Registered specialties (4)

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 310304 (IA)

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Custodial Care Facility

Nursing & Custodial Care Facilities Taxonomy 311Z00000X Licence 310304 (IA)

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Skilled Nursing Facility

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 310304 (IA)

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Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence IMR-304 (IA)

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Registry record

NPI: 1215934955
Entity type: Organization
NPI issued: 7 Jul 2005
Record last updated: 1 Nov 2011

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.