Organization
EVANS MEMORIAL HOME FOR THE AGED, INC.
Active
Other names
Evans Memorial Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
1010 N ELM ST, CRESCO, IA 52136-1083
(563) 547-2364
(563) 547-5013
Mailing address
1010 N ELM ST, CRESCO, IA 52136-1083
(563) 547-2364
(563) 547-5013
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
450329
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0801209
—
IA
Enumeration date
08/24/2005
Last updated
09/08/2010
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