Provider Demographics
NPI:1376089722
Name:ACCURA HEALTHCARE OF STANTON LLC
Entity Type:Organization
Organization Name:ACCURA HEALTHCARE OF STANTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:
Authorized Official - Last Name:LENEAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-963-1125
Mailing Address - Street 1:213 HALLAND AVE
Mailing Address - Street 2:
Mailing Address - City:STANTON
Mailing Address - State:IA
Mailing Address - Zip Code:51573-8022
Mailing Address - Country:US
Mailing Address - Phone:712-829-2727
Mailing Address - Fax:
Practice Address - Street 1:213 HALLAND AVE
Practice Address - Street 2:
Practice Address - City:STANTON
Practice Address - State:IA
Practice Address - Zip Code:51573-8022
Practice Address - Country:US
Practice Address - Phone:712-829-2727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility