BETHANY MANOR INC
Nursing Care, Pediatric
Story City, Iowa
Provider NPI: 1952456444
Organization Information:Organization Name: BETHANY MANOR INC
Practice Location:
212 LAFAYETTE AVE STORY CITY, IA 50248 US
Tel: 515-733-4325 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:
212 LAFAYETTE AVE STORY CITY, IA 50248 US
Tel: 515-733-4325 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | IA | 850220 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
0800235 | IA | 05 | |
0454272 | IA | 05 | |
WELLMARK | 65424 | IA | 01 |
0272575 | IA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin