Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareON WITH LIFE EXTENDED SERVICE, LTD.
Nursing Care, Pediatric
Glenwood, Iowa
Provider NPI: 1841355575
Organization Information:Organization Name: ON WITH LIFE EXTENDED SERVICE, LTD.
Practice Location:
714 LACEY ST GLENWOOD, IA 51534 US
Tel: 712-525-1294 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:
714 LACEY ST GLENWOOD, IA 51534 US
Tel: 712-525-1294 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 | 650726 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0652818 | IA | 05 | |
| 599-00 | IA | 05 | |
| BLUE CROSS BLUE SHIELD | 65281 | IA | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin