HOWARD RESIDENTIAL CARE FACILITY
Adult Care Home
Cresco, Iowa
Provider NPI: 1003907437
Organization Information:Organization Name: HOWARD RESIDENTIAL CARE FACILITY
Practice Location:
21668 80TH ST CRESCO, IA 52136 US
Tel: 563-547-2398 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
21668 80TH ST CRESCO, IA 52136 US
Tel: 563-547-2398 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | IA | R-478 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0894956 | IA | 05 | |
ELDERLY WAIVER | 0080432 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin