- Enrollment id
- O20111019000356
- Enrollment state
- IA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1043375769
- Multiple npi flag
- N
- Ccn
- 165163
- Associate id
- 4385553965
- Organization name
- ON WITH LIFE INC
- Doing business as name
- ON WITH LIFE AT ANKENY
- Incorporation date
- 1987-05-22
- Incorporation state
- IA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Nursing home provider name
- ON WITH LIFE
- Address line 1
- 715 SW ANKENY RD
- City
- ANKENY
- State
- IA
- Zip code
- 500239798