Organization
ANAMOSA NURSING HOME COMPANY LLC
Active
Other names
Woodland Park 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
1207 EAST THIRD STREET, ANAMOSA, IA 52205-1503
(319) 462-2668
(319) 462-3705
Mailing address
1207 EAST THIRD STREET, ANAMOSA, IA 52205-1503
(319) 462-2668
(319) 462-3705
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0253
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0747832
—
IA
Enumeration date
04/20/2007
Last updated
08/22/2020
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