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Organization

RIVERSIDE SENIOR LIVING

Active
Parent organization
CHAUTAUQUA GUEST HOMES, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHAUTAUQUA GUEST HOMES, INC.
Authorized official
MR. DAVID F AYERS LNHA (ADMINISTRATOR)
(641) 228-2800
Entity
Organization

Contact information

Practice address
209 PARK DR, CHARLES CITY, IA 50616-1619
(641) 228-2800
(641) 228-3886
Mailing address
209 PARK DRIVE, CHARLES CITY, IA 50616
(641) 228-2800
(641) 228-3886

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0194
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0473231
IA
Enumeration date
12/05/2006
Last updated
06/16/2008
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