Indianola Ia Assisted Living

NPI 1245440221 - Assisted Living Facility - 310400000X

NPI Details
NPI 1245440221
Enumeration Date 05/22/2007
Last Updated 07/22/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GAYLA ANNETTE GAYLA
Position MANAGER
Phone (515) 961-8900
Fax (515) 961-8907
Practice Location
608 SOUTH 15TH ST.
INDIANOLA IA, 50125, US
Phone (515) 961-8900
Fax (515) 961-8907
Business Location
608 SOUTH 15TH ST.
INDIANOLA IA, 50125, US
Phone (515) 961-8900
Fax (515) 961-8907
Toxanomy
Taxonomy Code 310400000X
License State Iowa
License Number S0199
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According to our database, Indianola Ia Assisted Living NPI is 1245440221, taxonomy code is 310400000X and license number is S0199, license state is located at Iowa. Indianola Ia Assisted Living physically located at 608 South 15th St., Indianola IA, 50125. NPI Number 1033115704 has the healthcare provider type.

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1245440221 NPI number is provided on an as is basis without warranty of any kind. 1245440221 is maintained by the National Plan & Provider Enumeration System. The contents of Indianola Ia Assisted Living are for informational purposes only.