NPI 1417283789

St. Mary Healthcare and Rehabilitation Center, LLC

Organisation Skilled Nursing Facility Davenport, IA

Practice location

Address: 800 E Rusholme St, Davenport, IA 52803-2547
Phone: (563) 322-1668
Fax: (563) 326-1811

Authorised official

Name: Michael T. Berg
Title: Assistant Secretary
Phone: (505) 468-4752

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 820846 (IA)

Other Skilled Nursing Facility providers in Iowa →

Registry record

NPI: 1417283789
Entity type: Organization
NPI issued: 21 Oct 2009
Record last updated: 26 Jan 2016

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.