Organization
BETTENDORF NURSING HOME COMPANY
Active
Other names
Bettendorf Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
2730 CROW CREEK RD, BETTENDORF, IA 52722-2066
(563) 332-7463
(563) 332-3656
Mailing address
PO BOX 1026, BETTENDORF, IA 52722-0018
(563) 332-7463
(563) 332-3656
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
820880
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809178
—
IA
01
—
16D0387557
CLIA
IA
Enumeration date
03/21/2006
Last updated
05/16/2012
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