Organization
WELLMAN INVESTORS INC
Active
Other names
Parkview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY NICHOLLS (OWNER)
(319) 646-2911
Entity
Organization
Contact information
Practice address
516 13TH ST, WELLMAN, IA 52356-9232
(319) 646-2911
(319) 646-2941
Mailing address
516 13TH ST, WELLMAN, IA 52356-9232
(319) 646-2911
(319) 646-2941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
S0160
IA
310400000X
Assisted Living Facility
S0168
IA
314000000X
Skilled Nursing Facility
Primary
920820
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0223636
—
IA
05
—
0803122
—
IA
01
—
65234
BCBS PROVIDER #
IA
Enumeration date
11/01/2006
Last updated
09/30/2011
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