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On With Life Extended Service, Ltd.
Pediatric Skilled Nursing Facility in Glenwood, Iowa
NPI 1841355575

On With Life Extended Service, Ltd. is a Pediatric Skilled Nursing Facility based in Ankeny, IA and is specialized in Nursing Care, Pediatric. On With Life Extended Service, Ltd. practices in Glenwood, IA. The NPI Number for On With Life Extended Service, Ltd. is 1841355575 and holds a License No. 650726 (Iowa).

The current practice location address for On With Life Extended Service, Ltd. is 714 Lacey St, Glenwood, IA and can be reached out via phone at 712-525-1294 and via fax at 712-525-1509. You can also correspond with On With Life Extended Service, Ltd. through the mailing address at 715 SW ANKENY RD, ANKENY, IA - 50023-9798 (mailing address contact number: 515-965-1339).

Location: 714 Lacey St, Glenwood, IA, 50023-9798
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841355575
Provider Name
On With Life Extended Service, Ltd.
Credential
Provider Entity Type
Organization
Address
714 Lacey St, Glenwood, IA, 50023-9798
Phone Number
712-525-1294
Fax Number
712-525-1509
Provider Enumeration Date
12/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0652818 05 IA
65281 01 IA BLUE CROSS BLUE SHIELD
599-00 05 IA
institution
Provider Business Practice Location Address Details
Address
714 Lacey St
City
Glenwood
State
Iowa
Zip
51534
Phone Number
712-525-1294
Fax Number
712-525-1509
person
Provider Business Mailing Address Details
Address
715 Sw Ankeny Rd
City
Ankeny
State
Iowa
Zip
50023-9798
Phone Number
515-965-1339
Fax Number
515-965-1186
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
Nursing Care, Pediatric
Taxonomy
3140N1450X
License No.
650726 (Iowa)
Definition
A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
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