Organization Name: | GBGB LC DBA BRIARWOOD CARE CENTER |
NPI Number: | 1063578359 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | REGINA KAY BRAMER (ADMINISTRATOR) |
Mailing Address: | 416 S Clark St Maquoketa |
State: | IA US |
Postal Code: | 520603226 |
Phone Number: | 5636525354 |
Fax Number: | 5636524300 |
NPI Enumeration Date: | 12/29/2006 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311ZA0620X |
License Number: | 490571 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Custodial Care Facility |
Taxonomy Specialization: | Adult Care Home |
Taxonomy Definition: | A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |