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Roy Gonzalez, PTA
Nursing Facility/Intermediate Care Facility in Sioux City, Iowa
NPI 1679920946

Roy Gonzalez is a Nursing Facility/Intermediate Care Facility based in Sioux City, IA. Roy Gonzalez practices in Sioux City, IA and has the professional credentials of PTA. The NPI Number for Roy Gonzalez is 1679920946 and holds a License No. 1463 (Iowa).

The current practice location address for Roy Gonzalez is 40 Ridgeview Rd, Sioux City, IA and can be reached out via phone at 712-204-4297. You can also correspond with Roy Gonzalez through the mailing address at 40 RIDGEVIEW RD, SIOUX CITY, IA - 51104-4052 (mailing address contact number: 712-204-4297).

Location: 40 Ridgeview Rd, Sioux City, IA, 51104-4052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679920946
Provider Name
Roy Gonzalez
Credential
PTA
Provider Entity Type
Individual
Gender
Male
Address
40 Ridgeview Rd, Sioux City, IA, 51104-4052
Phone Number
712-204-4297
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Ridgeview Rd
City
Sioux City
State
Iowa
Zip
51104-4052
Phone Number
712-204-4297
Fax Number
person
Provider Business Mailing Address Details
Address
40 Ridgeview Rd
City
Sioux City
State
Iowa
Zip
51104-4052
Phone Number
712-204-4297
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
1463 (Nebraska)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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