Organization
COUNTRY VIEW ESTATES, INC.
Active
Parent organization
COUNTRY VIEW ESTATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTRY VIEW ESTATES, INC.
Authorized official
GARY RANDEL (PRESIDENT)
(641) 755-2125
Entity
Organization
Contact information
Practice address
2345 REDWOOD AVE, GUTHRIE CENTER, IA 50115-8888
(641) 755-2125
(641) 755-2863
Mailing address
2345 REDWOOD AVE, GUTHRIE CENTER, IA 50115-8888
(641) 755-2125
(641) 755-2863
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
R - 695
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588709976
—
IA
05
—
1679608558
—
IA
Enumeration date
10/25/2012
Last updated
10/25/2012
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