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FIVE STAR QUALITY CARE-IA, LLC

Intermediate Care Facility, Mentally Retarded

Pacific Junction, Iowa

Provider NPI: 1881640993

Organization Information:
Organization Name:  FIVE STAR QUALITY CARE-IA, LLC


Practice Location:
20937 KANE AVE  PACIFIC JUNCTION, IA 51561 US
Tel: 712-622-8144  Fax: --

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


Taxonomy:

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

Other Provider Identifiers:

IssuerNumberStateType
0881573IA05
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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