Organization
MANOR OF LAKE CITY, INC
Active
Other names
Shady Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DEAN VETTER (PRESIDENT)
(402) 895-3932
Entity
Organization
Contact information
Practice address
1409 W MAIN ST, LAKE CITY, IA 51449-1578
(712) 464-3106
(712) 464-8042
Mailing address
1409 W MAIN ST, LAKE CITY, IA 51449-1578
(712) 464-3106
(712) 464-8042
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
130137
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807644
—
IA
Enumeration date
08/29/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us