Organization
CHAUTAUQUA GUEST HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID AYERS LNHA (ADMINISTRATOR)
(641) 228-2353
Entity
Organization
Contact information
Practice address
602 11TH ST, CHARLES CITY, IA 50616-3404
(641) 228-2353
(641) 228-5264
Mailing address
602 11TH ST, CHARLES CITY, IA 50616-3404
(641) 228-2353
(641) 228-5264
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
340392
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0215608
—
IA
01
—
0443570003
CIGNA MEDICARE
IA
05
—
0800565
—
IA
01
—
65019
BCBS
IA
Enumeration date
08/15/2005
Last updated
07/18/2007
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