MEDICARE: ENGLISH VALLEY NURSING CARE CENTER 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
1	314000000X	Skilled Nursing Facility	480239	IA

Other Identifiers

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

General Provider Information

NPI Number	:	1114916749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENGLISH VALLEY NURSING CARE CENTER INC

Provider Business Mailing Address
First Line	:	150 W WASHINGTON ST
Second Line	:
City	:	NORTH ENGLISH
State	:	IA
Zip	:	52316-9514
Country	:	US
Telephone Number	:	319-664-3256
Fax Number	:	319-664-3875

Provider Business Practice Location Address
First Line	:	150 W WASHINGTON ST
Second Line	:
City	:	NORTH ENGLISH
State	:	IA
Zip	:	52316-9514
Country	:	US
Telephone Number	:	319-664-3256
Fax Number	:	319-664-3875

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MICHAEL J ELWOOD
Credential	:
Telephone Number	:	319-664-3256

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	12/22/2011

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Directions to “ENGLISH VALLEY NURSING CARE CENTER INC ” Practice Location

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