COLONIAL MANOR OF ELMA
Assisted Living Facility
Elma, Iowa
Provider NPI: 1043212715
Organization Information:Organization Name: COLONIAL MANOR OF ELMA
Practice Location:
405 9TH ST ELMA, IA 50628 US
Tel: 641-393-2125 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:
405 9TH ST ELMA, IA 50628 US
Tel: 641-393-2125 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IA | S0094 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0215061 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin