Provider Demographics
NPI:1528238243
Name:THE MEADOWS ASSISTED LIVING
Entity type:Organization
Organization Name:THE MEADOWS ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR SERVICES DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:KILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-532-6775
Mailing Address - Street 1:1302 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:IA
Mailing Address - Zip Code:50525-2091
Mailing Address - Country:US
Mailing Address - Phone:515-532-2035
Mailing Address - Fax:515-532-3443
Practice Address - Street 1:1302 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:IA
Practice Address - Zip Code:50525-2091
Practice Address - Country:US
Practice Address - Phone:515-532-2035
Practice Address - Fax:515-532-3443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WRIGHT MEDICAL FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-03-10
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAS0225310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility