Organization
WHEATLAND MANOR INC
Active
Other names
Wheatland Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD L CHENSVOLD (MANAGER)
(319) 362-8916
Entity
Organization
Contact information
Practice address
316 E LINCOLNWAY ST, WHEATLAND, IA 52777-9717
(563) 374-1295
(563) 374-1107
Mailing address
PO BOX 369, WHEATLAND, IA 52777-0369
(563) 374-1219
(563) 374-1107
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
230997
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0196014
—
IA
Enumeration date
04/19/2007
Last updated
08/22/2020
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