Provider Demographics
NPI:1720553944
Name:RICEVILLE COMMUNITY REST HOME
Entity Type:Organization
Organization Name:RICEVILLE COMMUNITY REST HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-985-2606
Mailing Address - Street 1:3327 370TH ST
Mailing Address - Street 2:
Mailing Address - City:RICEVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:50466-8006
Mailing Address - Country:US
Mailing Address - Phone:641-985-2606
Mailing Address - Fax:641-985-4070
Practice Address - Street 1:3327 370TH ST
Practice Address - Street 2:
Practice Address - City:RICEVILLE
Practice Address - State:IA
Practice Address - Zip Code:50466-8006
Practice Address - Country:US
Practice Address - Phone:641-985-2606
Practice Address - Fax:641-985-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit