Cardinal Care Corp

Organization Active NPI Skilled Nursing Facility · Danville, IA

NPI 1174582985 · NPPES record last updated Jan 8, 2015

Key facts

NPI
1174582985
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
290870 (IA)
Legal business name
CARDINAL CARE CORP
Practice address
401 S Birch St
Danville, IA 52623-9613
Phone
(319) 392-4259
Fax
(319) 392-4078
NPI assigned
Mar 21, 2006
Organization subpart
No

Authorized official

Name
Mr. Marc R Johnson
Title
President
Phone
(217) 440-9588

National Provider Directory

Locations

31 S 31st St
Ste 2
Keokuk, IA 52632

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 290870 IA Yes

Addresses

Primary practice location

401 S Birch St
Danville, IA 52623-9613

Mailing address

31 S 31St St Ste 2
Keokuk, IA 52632-2264
Phone (319) 524-2029

Other identifiers

IdentifierTypeStateIssuer
16D0691717OtherIACLIA
0805606MedicaidIA

Other names

  • Danville Care Center Doing business as

Other providers in Danville, IA

All providers in Danville, IA · Skilled Nursing Facility in Iowa

Sources for this page

Verify at the official NPI Registry.