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HILLSIDE ESTATE INC

Custodial Care Facility

Williamsburg, Iowa

Provider NPI: 1215080635

Organization Information:
Organization Name:  HILLSIDE ESTATE INC


Practice Location:
2227 225TH ST  WILLIAMSBURG, IA 52361 US
Tel: 319-668-1659  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
IAR-653
X311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
IAR-653
X320600000XResidential Treatment Facilities
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
IAR-653

Other Provider Identifiers:

IssuerNumberStateType
0258624IA05
0895219IA05
0455170IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




CUSTODIAL CARE JOBS IA - Page 1