Organization
MAYFLOWER HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DENISE M. SMITH (FINANCIAL SECRETARY)
(641) 236-6151
Entity
Organization
Contact information
Practice address
616 BROAD ST, GRINNELL, IA 50112-2298
(641) 236-6151
(641) 236-6154
Mailing address
616 BROAD ST, GRINNELL, IA 50112-2298
(641) 236-6151
(641) 236-6154
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
I-277
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0204149
RCF & ELDERLY WAIVER PROV
IA
05
—
0893347
—
IA
Enumeration date
06/13/2007
Last updated
08/22/2020
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