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NPI Code Detail

MEDICARE: UNITY MANOR HOMES LLC

MEDICARE: UNITY MANOR HOMES LLC
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
1253Z00000XIn Home Supportive Care Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1902648298
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITY MANOR HOMES LLC
Provider Business Mailing Address
First Line : 7644 HICKMAN RD
Second Line :
City : WINDSOR HEIGHTS
State : IA
Zip : 50324-4510
Country : US
Telephone Number : 515-868-3992
Fax Number :
Provider Business Practice Location Address
First Line : 7644 HICKMAN RD
Second Line :
City : WINDSOR HEIGHTS
State : IA
Zip : 50324-4510
Country : US
Telephone Number : 515-868-3992
Fax Number :
Authorized Official
Title or Position : OWNER
Name : STANLEY MBUH
Credential :
Telephone Number : 515-868-3992
Provider Enumeration Date : 06/10/2024
Last Update Date : 06/14/2024

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Directions to “UNITY MANOR HOMES LLC ” Practice Location

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