NPI 1366414351

Care Initiatives

Organisation Skilled Nursing Facility Cedar Rapids, IA

Practice location

Address: 200 Clive Dr SW, Cedar Rapids, IA 52404-1324
Phone: (319) 396-7171
Fax: (319) 396-7789
Mailing address: 1611 West Lakes Parkway, West Des Moines, IA 50266-8212

Authorised official

Name: David Dixon
Title: Cfo/Svp
Phone: (515) 224-4442

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 570110 (IA)

Other Skilled Nursing Facility providers in Iowa →

Registry record

NPI: 1366414351
Entity type: Organization
NPI issued: 3 Feb 2006
Record last updated: 9 Nov 2022

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.