COUNTRY VIEW
Intermediate Care Facility, Mentally Retarded
Waterloo, Iowa
Provider NPI: 1811067143
Organization Information:Organization Name: COUNTRY VIEW
Practice Location:
1410 W DUNKERTON RD WATERLOO, IA 50703 US
Tel: 319-291-2509 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:
1410 W DUNKERTON RD WATERLOO, IA 50703 US
Tel: 319-291-2509 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | IA | 070529 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0880278 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin