Organization
ONEOTA RIVERVIEW CARE FACILITY, INC.
Active
Other names
Wellington Place
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
2479 RIVER RD, DECORAH, IA 52101-7596
(563) 382-9691
(563) 382-9694
Mailing address
2479 RIVER RD, DECORAH, IA 52101-7596
(563) 382-9691
(563) 382-9694
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
960443
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0807586
—
IA
01
—
16D0648084
CLIA
IA
Enumeration date
03/21/2006
Last updated
03/12/2010
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