Organization
ON WITH LIFE, INC.
Active
Other names
On With Life at Ankeny
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN LUFT-WISKUS (OFFICE MANAGER)
(515) 289-9703
Entity
Organization
Contact information
Practice address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 965-1339
(515) 965-1186
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-9798
(515) 289-9658
(515) 965-1186
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
770700
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0651638
—
IA
05
—
100249
—
NE
01
—
65163
BLUE CROSS BLUE SHIELD
IA
01
—
7100081
UNITED HEALTH CARE
IA
Enumeration date
12/22/2006
Last updated
04/11/2024
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