Organization
CHAUTAUQUA GUEST HOMES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN J AYERS RNBC LNHA (ADMINISTRATOR)
(641) 228-5351
Entity
Organization
Contact information
Practice address
302 9TH ST, CHARLES CITY, IA 50616-3615
(641) 228-5351
(641) 228-5351
Mailing address
302 9TH ST, CHARLES CITY, IA 50616-3615
(641) 228-5351
(641) 228-5981
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
340164
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166587
—
IA
01
—
0215533
WOUND CARE
IA
01
—
0443570001
DMERCK-DME
IA
05
—
0652420
—
IA
05
—
0800557
—
IA
01
—
65243
BCBS
IA
Enumeration date
08/23/2005
Last updated
11/19/2014
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