Provider Demographics
NPI:1245064179
Name:HARVEST ACRES NURSING AND REHAB LLC
Entity type:Organization
Organization Name:HARVEST ACRES NURSING AND REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED REPRESENTATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:GLATZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-757-0550
Mailing Address - Street 1:204 N KEOKUK WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:KEOTA
Mailing Address - State:IA
Mailing Address - Zip Code:52248-9496
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 N KEOKUK WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:KEOTA
Practice Address - State:IA
Practice Address - Zip Code:52248-9496
Practice Address - Country:US
Practice Address - Phone:641-636-3400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility