Healthcare Provider Details

I. General information

NPI: 1760952949
Provider Name (Legal Business Name): MANNING BETTERMENT FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2018
Last Update Date: 11/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 MAIN ST
MANNING IA
51455-1033
US

IV. Provider business mailing address

402 MAIN ST
MANNING IA
51455-1033
US

V. Phone/Fax

Practice location:
  • Phone: 712-655-8145
  • Fax: 712-655-8221
Mailing address:
  • Phone: 712-655-8145
  • Fax: 712-655-8221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALYSON ANN BORNHOFT
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 712-655-8145