Provider Demographics
NPI:1659301869
Name:GOOD NEIGHBOR SOCIETY
Entity Type:Organization
Organization Name:GOOD NEIGHBOR SOCIETY
Other - Org Name:GOOD NEIGHBOR HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LOLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:GALIHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:563-927-3907
Mailing Address - Street 1:105 MCCARREN DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:IA
Mailing Address - Zip Code:52057-1835
Mailing Address - Country:US
Mailing Address - Phone:563-927-3907
Mailing Address - Fax:563-927-3929
Practice Address - Street 1:105 MCCARREN DRIVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:IA
Practice Address - Zip Code:52057-1835
Practice Address - Country:US
Practice Address - Phone:563-927-3907
Practice Address - Fax:563-927-3929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA280358314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0801407Medicaid
IA165503Medicare Oscar/Certification