Organization
MAYFLOWER HOMES, INC.
Active
Other names
Mayflower Home Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD R. POUSH (ADMINISTRATOR)
(641) 236-6151
Entity
Organization
Contact information
Practice address
616 BROAD ST, GRINNELL, IA 50112-2298
(641) 236-6151
(641) 236-6154
Mailing address
616 BROAD ST, GRINNELL, IA 50112-2298
(641) 236-6151
(641) 236-6154
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
0277
IA
314000000X
Skilled Nursing Facility
Primary
0277
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802303
—
IA
Enumeration date
09/12/2005
Last updated
10/26/2011
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