Coralville Manor Llc , Windmill Manor

LBN: Residential Alternatives Of Illinois, Inc
Coralville Manor Llc , Windmill Manor is an health care organization with primary practice located at 2332 Liberty Dr , Coralville IA 52241-2771. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Residential Alternatives Of Illinois, Inc can be contacted via phone (319) 545-7390, or through Wilson, Ronald J via phone (309) 343-1550.

Contact Information

Primary practice address
2332 Liberty Dr Coralville IA 52241-2771
Phone: (319) 545-7390
Fax: (319) 545-7393
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Ronald J
Phone: (309) 343-1550

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 165545 Iowa

Profile Details

NPI number 1295723500
LBN Legal business name Residential Alternatives Of Illinois, Inc
DBA Doing business as Coralville Manor Llc , Windmill Manor
Authorized official Wilson, Ronald J
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2005
Last updated Jul 18th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295723500 NPPES
Iowa MEDICAID 0809673
Iowa Other 65545

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