Ccrc of West Des Moines, LLC
NPI #1093286395 in West Des Moines, Iowa
Provider Information
- NPI Number
- 1093286395
- Entity Type
- Organization
- Organization Name
- Ccrc of West Des Moines, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 12, 2018
- Last Updated
- Dec 12, 2018
Practice Location
- Address
- 8950 COACHLIGHT DRIVE
- City
- West Des Moines
- State
- Iowa
- ZIP Code
- 50266
- Phone
- (515) 369-2100
Authorized Official
- Name
- SCOTT GULLEDGE
- Title
- MANAGER BY CONTRACT
- Phone
- (913) 890-4780
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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