Healthcare Provider Details

I. General information

NPI: 1902648298
Provider Name (Legal Business Name): UNITY MANOR HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7644 HICKMAN RD
WINDSOR HEIGHTS IA
50324-4510
US

IV. Provider business mailing address

7644 HICKMAN RD
WINDSOR HEIGHTS IA
50324-4510
US

V. Phone/Fax

Practice location:
  • Phone: 515-868-3992
  • Fax:
Mailing address:
  • Phone: 515-868-3992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: STANLEY MBUH
Title or Position: OWNER
Credential:
Phone: 515-868-3992