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OPPORTUNITY LIVING

Intermediate Care Facility, Mentally Retarded

Lake City, Iowa

Provider NPI: 1164590642

Organization Information:
Organization Name:  OPPORTUNITY LIVING


Practice Location:
1890 E MAIN ST  LAKE CITY, IA 51449 US
Tel: 712-464-8961  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
IAIMR608

Other Provider Identifiers:

IssuerNumberStateType
0880534IA05
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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