Provider Demographics
NPI:1396874962
Name:ELDER SERVICES, INC.
Entity type:Organization
Organization Name:ELDER SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-338-0515
Mailing Address - Street 1:1556 S 1ST AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-6007
Mailing Address - Country:US
Mailing Address - Phone:319-338-0515
Mailing Address - Fax:319-338-0531
Practice Address - Street 1:1556 S 1ST AVE
Practice Address - Street 2:SUITE A
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52240-6007
Practice Address - Country:US
Practice Address - Phone:319-338-0515
Practice Address - Fax:319-338-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0137778Medicaid