Organization
FELLOWSHIP VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILY R JONES (ADMINISTRATOR)
(712) 753-4663
Entity
Organization
Contact information
Practice address
300 E JEFFERSON ST, INWOOD, IA 51240-7766
(712) 753-4663
(712) 753-4666
Mailing address
300 E JEFFERSON ST, INWOOD, IA 51240-7766
(712) 753-4663
(712) 753-4666
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-0572
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807891
—
IA
Enumeration date
02/24/2006
Last updated
05/16/2022
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