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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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
IA070529

Other Provider Identifiers:

IssuerNumberStateType
0880278IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS IA - Page 1



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