FAITH LUTHERAN HOME
Skilled Nursing Facility
Osage, Iowa
Provider NPI: 1306840152
Organization Information:Organization Name: FAITH LUTHERAN HOME
Practice Location:
914 DAVIDSON DR OSAGE, IA 50461 US
Tel: 641-732-5941 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:
914 DAVIDSON DR OSAGE, IA 50461 US
Tel: 641-732-5941 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | N-081 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS OF IOWA | 65433 | IA | 01 |
0801233 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin