LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Alzheimer Center
Iowa City, Iowa
Provider NPI: 1952510018
Organization Information:Organization Name: LEGACY ACTIVE LIVING RETIREMENT COMMUNITY
Practice Location:
15 SILVERCREST PL IOWA CITY, IA 52240 US
Tel: 319-338-4404 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:
15 SILVERCREST PL IOWA CITY, IA 52240 US
Tel: 319-338-4404 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | IA | S0163 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0280875 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin