Organization Name: | COUNTRY VIEW |
NPI Number: | 1033496518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DOUGLAS C. MEYER (PROVISIONAL ADMINISTRATOR) |
Mailing Address: | 1410 W Dunkerton Rd Waterloo |
State: | IA US |
Postal Code: | 507039648 |
Phone Number: | 3192912509 |
Fax Number: | 3192912570 |
NPI Enumeration Date: | 11/10/2011 |
NPI Last Update Date: | 05/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310500000X |
License Number: | 070529 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Intermediate Care Facility, Mental Illness |
Taxonomy Specialization: | |
Taxonomy Definition: | A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |