PRAIRIE VIEW MANAGEMENT, INC.
Adult Care Home
Fayette, Iowa
Provider NPI: 1609099811
Organization Information:Organization Name: PRAIRIE VIEW MANAGEMENT, INC.
Practice Location:
18569 LANE RD FAYETTE, IA 52142 US
Tel: 563-422-5606 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:
18569 LANE RD FAYETTE, IA 52142 US
Tel: 563-422-5606 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 | 0234484 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ARO | 0234484 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin