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EASTERN STAR MASONIC HOME

Skilled Nursing Facility

Boone, Iowa

Provider NPI: 1740283795

Organization Information:
Organization Name:  EASTERN STAR MASONIC HOME


Practice Location:
715 W 3RD ST  BOONE, IA 50036 US
Tel: 515-432-5274  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IAN-0268
N311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
IAR-268
Y313M00000XNursing & Custodial Care Facilities
Nursing Facility/Intermediate Care Facility
IAN-0268

Other Provider Identifiers:

IssuerNumberStateType
0890210IA05
0801076IA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




SKILLED NURSING JOBS IA - Page 1