Organization
NEWTON VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (SENIOR DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
122 N 5TH AVE W, NEWTON, IA 50208-3190
(641) 792-0115
(641) 792-0226
Mailing address
122 N 5TH AVE W, NEWTON, IA 50208-3190
(641) 792-0115
(641) 792-0226
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0489252
—
IA
Enumeration date
05/08/2007
Last updated
04/06/2023
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