Provider Demographics
NPI:1902648298
Name:UNITY MANOR HOMES LLC
Entity type:Organization
Organization Name:UNITY MANOR HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STANLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MBUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-868-3992
Mailing Address - Street 1:7644 HICKMAN RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR HEIGHTS
Mailing Address - State:IA
Mailing Address - Zip Code:50324-4510
Mailing Address - Country:US
Mailing Address - Phone:515-868-3992
Mailing Address - Fax:
Practice Address - Street 1:7644 HICKMAN RD
Practice Address - Street 2:
Practice Address - City:WINDSOR HEIGHTS
Practice Address - State:IA
Practice Address - Zip Code:50324-4510
Practice Address - Country:US
Practice Address - Phone:515-868-3992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care