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VILLAGE NORTHWEST UNLIMITED

Intermediate Care Facility, Mentally Retarded

Sheldon, Iowa

Provider NPI: 1730123563

Organization Information:
Organization Name:  VILLAGE NORTHWEST UNLIMITED


Practice Location:
330 VILLAGE CIR  SHELDON, IA 51201 US
Tel: 712-324-4873  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X251C00000XAgencies
Day Training, Developmentally Disabled Services
X311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
X315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
0894949IA05
0880039IA05
0890988IA05
0094615IA05
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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