Provider Demographics
NPI:1982601688
Name:ALBERT CITY IMPROVEMENT CORP
Entity Type:Organization
Organization Name:ALBERT CITY IMPROVEMENT CORP
Other - Org Name:PLEASANT VIEW HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:L
Authorized Official - Last Name:LOVING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-843-2237
Mailing Address - Street 1:410 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:ALBERT CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50510-1312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:410 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:ALBERT CITY
Practice Address - State:IA
Practice Address - Zip Code:50510-1312
Practice Address - Country:US
Practice Address - Phone:712-843-2237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-07
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA110376314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0803247Medicaid
IA0803247Medicaid