Organization
STONE CREEK SENIOR PARTNERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID D CHENSVOLD (PRESIDENT)
(319) 362-8916
Entity
Organization
Contact information
Practice address
5710 DEAN RD SW, CEDAR RAPIDS, IA 52404-7931
(319) 362-8916
(319) 362-9750
Mailing address
5710 DEAN RD SW, CEDAR RAPIDS, IA 52404-7931
(319) 362-8916
(319) 362-9750
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
FACILITY LICENSE
IA
Enumeration date
06/09/2017
Last updated
07/21/2022
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