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Organization
CLEAR LAKE IA SKILLED NURSING FACILITY, LLC
Active
Organization
CLEAR LAKE IA SKILLED NURSING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAIM RAJCHENBACH (PRINCIPAL)
(847) 745-7000
Entity
Organization
Contact information
Practice address
400 US HIGHWAY 18 W, CLEAR LAKE, IA 50428-1108
(641) 357-5244
Mailing address
400 US HIGHWAY 18 W, CLEAR LAKE, IA 50428-1108
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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