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:
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:
330 VILLAGE CIR SHELDON, IA 51201 US
Tel: 712-324-4873 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | ||
X | 311Z00000X | Nursing & Custodial Care Facilities Custodial Care Facility | ||
X | 251C00000X | Agencies Day Training, Developmentally Disabled Services |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0894949 | IA | 05 | |
0880039 | IA | 05 | |
0890988 | IA | 05 | |
0094615 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin