Provider Demographics
NPI:1023375870
Name:ARLINGTON PLACE
Entity Type:Organization
Organization Name:ARLINGTON PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOUSING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:SYLVIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-623-1999
Mailing Address - Street 1:800 EAST RATLIFF ROAD
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:IA
Mailing Address - Zip Code:51566-5102
Mailing Address - Country:US
Mailing Address - Phone:712-623-1999
Mailing Address - Fax:712-623-2007
Practice Address - Street 1:800 EAST RATLIFF ROAD
Practice Address - Street 2:
Practice Address - City:RED OAK
Practice Address - State:IA
Practice Address - Zip Code:51566-5102
Practice Address - Country:US
Practice Address - Phone:712-623-1999
Practice Address - Fax:712-623-2007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA50137310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility