Organization
EVANS MEMORIAL HOME
Active
Other names
Cresco 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
1004 N ELM ST, CRESCO, IA 52136-1097
(563) 547-2580
(563) 547-5013
Mailing address
1004 N ELM ST, CRESCO, IA 52136-1097
(563) 547-2580
(563) 547-5013
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0210
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0461590
—
IA
Enumeration date
04/19/2007
Last updated
08/22/2020
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