Eventide

NPI #1417944265 in Denison, Iowa

Provider Information

NPI Number
1417944265
Entity Type
Organization
Organization Name
Eventide
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 5, 2005
Last Updated
Oct 17, 2013

Practice Location

Address
114 S 20TH ST
State
Iowa
ZIP Code
51442-2251
Phone
(712) 263-3114

Authorized Official

Name
MRS. MINDI RENAE BAKER, NHA
Title
ADMINISTRATOR
Phone
(712) 263-3114

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility
Nursing Facility/Intermediate Care Facility
Skilled Nursing Facility

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