Organization
RISEN SON CHRISTIAN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCGHEE (CONTROLLER)
(217) 732-5175
Entity
Organization
Contact information
Practice address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
(712) 366-4748
Mailing address
3000 RISEN SON BLVD, COUNCIL BLUFFS, IA 51503-1911
(712) 366-9655
(712) 366-4748
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
780641
IA
311500000X
Alzheimer Center (Dementia Center)
Primary
780641
IA
314000000X
Skilled Nursing Facility
780641
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0808592
—
IA
05
—
0895557
—
IA
01
—
65466
WELLMARK BC/BS
IA
Enumeration date
07/20/2006
Last updated
09/11/2025
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