Organization
ON WITH LIFE EXTENDED SERVICES, LTD.
Active
Other names
ON WITH LIFE LONG TERM CARE
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN LUFT-WISKUS (CREDENTIALING COORDINATOR)
(515) 289-9703
Entity
Organization
Contact information
Practice address
1002 W WASHINGTON AVE, POLK CITY, IA 50226-2132
(515) 289-9600
Mailing address
715 SW ANKENY RD, ANKENY, IA 50023-5999
(515) 289-9600
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
07/17/2024
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