Ccrc of Grimes, LLC

NPI #1013200914 in Grimes, Iowa

Provider Information

NPI Number
1013200914
Entity Type
Organization
Organization Name
Ccrc of Grimes, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 25, 2011
Last Updated
Jan 26, 2017

Practice Location

Address
200 SW BROOKSIDE DRIVE
City
Grimes
State
Iowa
ZIP Code
50111
Phone
(515) 369-3900

Authorized Official

Name
MR. GILBERT R WOOD
Title
MANAGING MEMBER
Phone
(913) 599-5705

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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