Organization
QHC FORT DODGE VILLA LLC
Active
Other names
Fort Dodge Villa 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
2721 10TH AVE N, FORT DODGE, IA 50501-2834
(515) 576-7525
(515) 955-7528
Mailing address
8350 HICKMAN RD, SUITE 15, CLIVE, IA 50325-4311
(515) 276-3656
(515) 276-4353
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0800053
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0800053
—
IA
Enumeration date
08/28/2005
Last updated
12/15/2014
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