BLACK HAWK NURSING AND REHABILITATION LLC NPI 1538631817

NPI Information

BLACK HAWK NURSING AND REHABILITATION, LLC is an intermediate care facility mental illness in Waterloo, IA. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. BLACK HAWK NURSING AND REHABILITATION, LLC NPI is 1538631817. The provider is registered as an organization entity type.

The provider's business location address is:

1410 W DUNKERTON RD
WATERLOO, IA
ZIP 50703-648
Phone: (319) 291-2509

The provider's authorized official is Ilya Shulman .
The authorized official title is Cfo and has the following contact phone number (224) 470-6512.

The enumeration date for this NPI number is 12/26/2018 and was last updated on 12/26/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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