IOWA MENNONITE BENEVOLENT ASSOCIATION
Custodial Care Facility
Kalona, Iowa
Provider NPI: 1497741557
Organization Information:Organization Name: IOWA MENNONITE BENEVOLENT ASSOCIATION
Practice Location:
811 3RD ST KALONA, IA 52247 US
Tel: 319-656-2421 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:
811 3RD ST KALONA, IA 52247 US
Tel: 319-656-2421 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | IA | 0891515 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | 165470 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0803270 | IA | 05 | |
0891515 | IA | 05 |
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
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