Organization
CHICKASAW COUNTY CARE CENTER
Active
Other names
Kensington Place Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
504 SHORT AVE, NEW HAMPTON, IA 50659-1867
(641) 394-3316
(641) 394-5483
Mailing address
504 SHORT AVE, NEW HAMPTON, IA 50659-1867
(641) 394-3316
(641) 394-5483
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0202
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450056
ELDERLY WAIVER (CDAC)
IA
Enumeration date
04/19/2007
Last updated
08/22/2020
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