KAHL HOME FOR THE AGED & INFIRM
Skilled Nursing Facility
Davenport, Iowa
Provider NPI: 1013910553
Organization Information:Organization Name: KAHL HOME FOR THE AGED & INFIRM
Practice Location:
6701 JERSEY RIDGE ROAD DAVENPORT, IA 52807 US
Tel: 563-324-1621 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:
6701 JERSEY RIDGE ROAD DAVENPORT, IA 52807 US
Tel: 563-324-1621 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IA | 820128 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
MEDICARE | 165146 | IA | 01 |
0802108 | IA | 05 | |
WELLMARK BLUE CROSS | 165146 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin