Organization
S.T.L. CARE COMPANY
Active
Other names
Living Center West
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
1050 4TH AVE SE, CEDAR RAPIDS, IA 52403-2425
(319) 366-8714
(319) 366-8854
Mailing address
1050 4TH AVE SE, CEDAR RAPIDS, IA 52403-2425
(319) 366-8714
(319) 366-8854
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
570244
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807073
—
IA
Enumeration date
03/21/2006
Last updated
03/18/2008
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