Organization
TITONKA COMMUNITY REST HOME, INC.
Active
Other names
Titonka Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ALLEN YOUMANS (ADMINISTRATOR)
(515) 928-2600
Entity
Organization
Contact information
Practice address
312 1ST AVE NW, TITONKA, IA 50480-7781
(515) 928-2600
(515) 928-2610
Mailing address
P.O. BOX 349, TITONKA, IA 50480-7781
(515) 928-2600
(515) 928-2610
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
550241
IA
313M00000X
Nursing Facility/Intermediate Care Facility
804005
IA
314000000X
Skilled Nursing Facility
165431
IA
314000000X
Skilled Nursing Facility
Primary
550241
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0804005
—
IA
05
—
804005
—
IA
Enumeration date
07/18/2005
Last updated
02/10/2014
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