TRINITY CENTER AT LUTHER PARK
Alzheimer Center
Des Moines, Iowa
Provider NPI: 1215001995
Organization Information:Organization Name: TRINITY CENTER AT LUTHER PARK
Practice Location:
1555 HULL AVE DES MOINES, IA 50316 US
Tel: 515-262-5639 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:
1555 HULL AVE DES MOINES, IA 50316 US
Tel: 515-262-5639 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 | 770825 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0802306 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin