Healthcare Provider Details
I. General information
NPI: 1376061739
Provider Name (Legal Business Name): ACCURA HEALTHCARE OF MILFORD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2017
Last Update Date: 09/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 13TH ST
MILFORD IA
51351-1373
US
IV. Provider business mailing address
1603 22ND ST STE 200
WEST DES MOINES IA
50266-1410
US
V. Phone/Fax
- Phone: 712-338-4742
- Fax:
- Phone: 515-963-1125
- Fax: 515-963-1081
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
TED
LENEAVE
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 515-963-1125