Organization
COMMUNITY NURSING HOME INC
Active
Other names
Community Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY J MENNENGA (VICE PRESIDENT)
(319) 278-4900
Entity
Organization
Contact information
Practice address
115 N HILTON, CLARKSVILLE, IA 50619-7936
(319) 278-4900
(319) 278-4166
Mailing address
115 N HILTON, CLARKSVILLE, IA 50619-7936
(319) 278-4900
(319) 278-4166
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120205
IA
332U00000X
Home Delivered Meals
120205
IA
385H00000X
Respite Care
120205
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0790030
—
IA
05
—
0800821
—
IA
Enumeration date
06/21/2005
Last updated
01/18/2012
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