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NPI Code Detail

MEDICARE: LONGVIEW HOME INC.

MEDICARE: LONGVIEW HOME INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility430093IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750379962
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONGVIEW HOME INC.
Provider Business Mailing Address
First Line : 1010 LONGVIEW RD
Second Line :
City : MISSOURI VALLEY
State : IA
Zip : 51555-1227
Country : US
Telephone Number : 712-642-2264
Fax Number : 712-642-2578
Provider Business Practice Location Address
First Line : 1010 LONGVIEW RD
Second Line :
City : MISSOURI VALLEY
State : IA
Zip : 51555-1227
Country : US
Telephone Number : 712-642-2264
Fax Number : 712-642-2578
Authorized Official
Title or Position : ADMINISTRATOR
Name : JULIE DIANE NEWTON
Credential :
Telephone Number : 712-642-2264
Provider Enumeration Date : 10/11/2005
Last Update Date : 10/28/2009

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