WHITING COMMERCIAL DEVELOPMENT CORP
Assisted Living Facility
Whiting, Iowa
Provider NPI: 1649266842
Organization Information:Organization Name: WHITING COMMERCIAL DEVELOPMENT CORP
Practice Location:
200 SHANNON DR. WHITING, IA 51063 US
Tel: 712-458-2417 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:
200 SHANNON DR. WHITING, IA 51063 US
Tel: 712-458-2417 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IA | S0149 |
N | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | 670072 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | IA | 670072 |
N | 261QR0400X | Ambulatory Health Care Facilities Clinic/Center | IA | 670072 |
Y | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IA | 670072 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0181636 | IA | 05 | |
0803254 | IA | 05 | |
UNTIED HEALTHCARE | 71-00353 | IA | 01 |
MIDLANDS CHOICE | F247014 | IA | 01 |
0652966 | IA | 05 | |
WELLMARK BC/BS | 65296 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin