Organization
IOWA MENNONITE BENEVOLENT ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND F. POE (ADMINISTRATOR)
(319) 656-2421
Entity
Organization
Contact information
Practice address
811 3RD ST, KALONA, IA 52247-9493
(319) 656-2421
(319) 656-2439
Mailing address
811 3RD ST, KALONA, IA 52247-9493
(319) 656-2421
(319) 656-2439
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
0891515
IA
314000000X
Skilled Nursing Facility
Primary
165470
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0803270
—
IA
05
—
0891515
—
IA
Enumeration date
09/23/2005
Last updated
07/16/2007
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