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Scottish Rite Park, Inc.
Nursing Facility/Intermediate Care Facility in Des Moines, Iowa
NPI 1679527840

Scottish Rite Park, Inc. is a Nursing Facility/Intermediate Care Facility based in Des Moines, IA. Scottish Rite Park, Inc. practices in Des Moines, IA. The NPI Number for Scottish Rite Park, Inc. is 1679527840 and holds a License No. 770155 (Iowa).

The current practice location address for Scottish Rite Park, Inc. is 2909 Woodland Ave., Des Moines, IA and can be reached out via phone at 515-274-4614 and via fax at 515-274-6049.

Location: 2909 Woodland Ave., Des Moines, IA, 50312
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679527840
Provider Name
Scottish Rite Park, Inc.
Credential
Provider Entity Type
Organization
Address
2909 Woodland Ave., Des Moines, IA, 50312
Phone Number
515-274-4614
Fax Number
515-274-6049
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
16D0912082 01 IA CLIA
770155 01 IA IA LICENSE #
0800022 05 IA
institution
Provider Business Practice Location Address Details
Address
2909 Woodland Ave.
City
Des Moines
State
Iowa
Zip
50312
Phone Number
515-274-4614
Fax Number
515-274-6049
person
Provider Business Mailing Address Details
Address
2909 Woodland Ave.
City
Des Moines
State
Iowa
Zip
50312
Phone Number
515-274-4614
Fax Number
515-274-6049
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
770155 (Iowa)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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