Buena Vista Manor, Inc.
NPI #1912993841 in Storm Lake, Iowa
Provider Information
- NPI Number
- 1912993841
- Entity Type
- Organization
- Organization Name
- Buena Vista Manor, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Sep 26, 2005
- Last Updated
- Jul 20, 2011
Practice Location
- Address
- 1325 LAKE AVE
- City
- Storm Lake
- State
- Iowa
- ZIP Code
- 50588-1907
- Phone
- (712) 732-3254
Authorized Official
- Name
- MR. KENNETH D. CARLSON
- Title
- GENERAL MANAGER
- Phone
- (515) 223-6064
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
| Respite Care |
| Skilled Nursing Facility |
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