Organization
KANAWHA COMMUNITY HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ALLEN YOUMANS (ADMINISTRATOR)
(641) 762-3302
Entity
Organization
Contact information
Practice address
130 W 6TH ST, KANAWHA, IA 50447-5026
(641) 762-3302
Mailing address
130 W 6TH ST, KANAWHA, IA 50447-5026
(641) 762-3302
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
410433
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802116
—
IA
01
—
410433
NURSING FACILITY LICENSE
IA
Enumeration date
01/31/2006
Last updated
02/14/2014
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