MALLARD VIEW INC
Assisted Living, Mental Illness
Carroll, Iowa
Provider NPI: 1245387299
Organization Information:Organization Name: MALLARD VIEW INC
Practice Location:
17504 MAHOGANY AVE CARROLL, IA 51401 US
Tel: 712-792-3785 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:
17504 MAHOGANY AVE CARROLL, IA 51401 US
Tel: 712-792-3785 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3104A0625X | Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness | IA | =========001 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0895243 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin