Provider Demographics
NPI:1609098185
Name:WORTH LIVING INC.
Entity Type:Organization
Organization Name:WORTH LIVING INC.
Other - Org Name:WAUKON LIVING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT WORTH LIVING INC.
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ERICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-245-1698
Mailing Address - Street 1:301 1ST ST NW
Mailing Address - Street 2:
Mailing Address - City:ELKADER
Mailing Address - State:IA
Mailing Address - Zip Code:52043-0531
Mailing Address - Country:US
Mailing Address - Phone:563-245-1698
Mailing Address - Fax:563-245-1684
Practice Address - Street 1:209 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:WAUKON
Practice Address - State:IA
Practice Address - Zip Code:52172
Practice Address - Country:US
Practice Address - Phone:563-568-2915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0032310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0182311Medicaid