Organization
S.T.L. CARE COMPANY
Active
Other names
St. Luke's Transitional Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
1420 UNITYPOINT WAY NE, CEDAR RAPIDS, IA 52402
(319) 366-8701
(319) 366-8703
Mailing address
1420 UNITYPOINT WAY NE, CEDAR RAPIDS, IA 52402-8001
(319) 366-8701
(319) 366-8703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
570245
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807081
—
IA
01
—
16D0648124
CLIA
IA
Enumeration date
03/24/2006
Last updated
12/03/2019
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