PAGE CARE FACILITY
Custodial Care Facility
Clarinda, Iowa
Provider NPI: 1104953389
Organization Information:Organization Name: PAGE CARE FACILITY
Practice Location:
1020 W STATE ST CLARINDA, IA 51632 US
Tel: 712-542-3530 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:
1020 W STATE ST CLARINDA, IA 51632 US
Tel: 712-542-3530 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | IA | 730943 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0738914 | IA | 05 | |
0894675 | IA | 05 | |
0234500 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin