Scottish Rite Park, Inc.
NPI #1679527840 in Des Moines, Iowa
Provider Information
- NPI Number
- 1679527840
- Entity Type
- Organization
- Organization Name
- Scottish Rite Park, Inc.
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- May 20, 2006
- Last Updated
- Sep 4, 2009
Practice Location
- Address
- 2909 WOODLAND AVE.
- City
- Des Moines
- State
- Iowa
- ZIP Code
- 50312
- Phone
- (515) 274-4614
Authorized Official
- Name
- MR. MARK WILLIAM ALLEN
- Title
- PRESIDENT
- Phone
- (515) 202-2010
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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