Organization
MONTICELLO NURSING HOME COMPANY
Active
Other names
Monticello Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
500 PINEHAVEN DR, MONTICELLO, IA 52310-2049
(319) 465-5415
(319) 465-3205
Mailing address
500 PINEHAVEN DR, MONTICELLO, IA 52310-2049
(319) 465-5415
(319) 465-3205
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
530729
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0809194
—
IA
01
—
16D0667011
CLIA
IA
Enumeration date
03/21/2006
Last updated
10/14/2011
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