Basic Information
| Provider Information | |||||||||
| NPI: | 1356807101 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ACCURA HEALTHCARE OF AURELIA LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1603 22ND ST STE 200 | ||||||||
| Address2: | |||||||||
| City: | WEST DES MOINES | ||||||||
| State: | IA | ||||||||
| PostalCode: | 502661410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5159631125 | ||||||||
| FaxNumber: | 5159631081 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 W 5TH ST | ||||||||
| Address2: | |||||||||
| City: | AURELIA | ||||||||
| State: | IA | ||||||||
| PostalCode: | 510057712 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7124342294 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/18/2019 | ||||||||
| LastUpdateDate: | 02/18/2019 | ||||||||
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| AuthorizedOfficialLastName: | LENEAVE | ||||||||
| AuthorizedOfficialFirstName: | TED | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 5159631125 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.