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Organization
ECA RIVERVIEW LC
Active
Organization
ECA RIVERVIEW LC
Active
Other names
Riverview Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
17990 SPENCER ROAD, PLEASANT VALLEY, IA 52767
(563) 332-4600
(563) 332-1493
Mailing address
PO BOX 503, PLEASANT VALLEY, IA 52767-0503
(563) 332-4600
(563) 332-1493
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
820046
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808410
—
IA
01
—
16D0667178
CLIA
IA
Enumeration date
03/23/2006
Last updated
06/16/2008
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