Organization
WAYLAND MENNONITE HOME ASSOCIATION
Active
Other names
Parkview Home
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY R OVERTON (PRESIDENT)
(319) 256-3525
Entity
Organization
Contact information
Practice address
102 N JACKSON ST, WAYLAND, IA 52654-7616
(319) 256-3525
(319) 256-4022
Mailing address
102 N JACKSON ST, WAYLAND, IA 52654-7616
(319) 256-3525
(319) 256-4022
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0318
IA
314000000X
Skilled Nursing Facility
Primary
440318
IA
320700000X
Physical Disabilities Residential Treatment Facility
440318
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803114
—
IA
05
—
0890640
—
IA
Enumeration date
08/15/2006
Last updated
03/23/2012
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