REM IOWA, INC
Intermediate Care Facility, Mentally Retarded
Council Bluffs, Iowa
Provider NPI: 1801958111
Organization Information:Organization Name: REM IOWA, INC
Practice Location:
712 N 35TH ST COUNCIL BLUFFS, IA 51501 US
Tel: 712-325-0923 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:
712 N 35TH ST COUNCIL BLUFFS, IA 51501 US
Tel: 712-325-0923 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 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0880609 | IA | 05 | |
PROVIDER NUMBER | 0880609 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin