Organization Name: | WHITING COMMERCIAL DEVELOPMENT CORP |
NPI Number: | 1649266842 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN COLLEEN KEANE (ADMINISTRATOR) |
Mailing Address: | 200 Shannon Dr. Whiting |
State: | IA US |
Postal Code: | 51063 |
Phone Number: | 7124582417 |
Fax Number: | 7124582179 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | S0149 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |