NPI 1346245347
County of Blackhawk
Practice location
- Address
- 1410 W Dunkerton Rd, Waterloo, IA 50703-9648
- Phone
- (319) 291-2509
- Fax
- (319) 291-2570
Authorised official
- Name
- Douglas C. Meyer
- Title
- Provisional Administrator
- Phone
- (319) 291-2509
Registered specialties (2)
Skilled Nursing Facility
Primary
Nursing Facility/Intermediate Care Facility
Registry record
- NPI
- 1346245347
- Entity type
- Organization
- NPI issued
- 16 Jun 2005
- Record last updated
- 10 May 2013
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.