Organization · Type 2 NPI
Five Star Quality Care-Ia, LLC
Intellectual Disabilities Intermediate Care Facility · Pacific Junction, IA
NPI number
1881640993
Active
Practice location
20937 Kane Ave
Pacific Junction, IA 51561-4242
Fax (712) 622-8158
Mailing address
400 Centre St
Newton, MA 02458-2094
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1881640993
Five Star Quality Care-Ia, LLC's National Provider Identifier is 1881640993, issued on May 26, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pacific Junction, IA. The record was last updated on May 29, 2008.