Organization
QHC MITCHELLVILLE LLC
Active
Other names
MItchell Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY WILLIAM VOYNA CPA (OWNER)
(515) 276-3656
Entity
Organization
Contact information
Practice address
114 CARTER ST SW, MITCHELLVILLE, IA 50169-5000
(515) 967-3726
(515) 967-3728
Mailing address
8350 HICKMAN RD, SUITE 15, CLIVE, IA 50325-4312
(515) 276-3656
(515) 276-4353
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0800049
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800049
—
IA
Enumeration date
08/28/2005
Last updated
12/15/2014
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