Organization
CHEROKEE CARE LLC
Active
Other names
Countryside Estates
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ZIMBELMAN (MANAGER)
(816) 232-9573
Entity
Organization
Contact information
Practice address
921 RIVERVIEW DR, CHEROKEE, IA 51012-1578
(712) 225-5724
(712) 225-3917
Mailing address
921 RIVERVIEW DR, CHEROKEE, IA 51012-1578
(712) 225-5724
(712) 225-3917
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
180966
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0805143
—
IA
Enumeration date
03/29/2006
Last updated
10/10/2013
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