Clear Lake Ia Skilled Nursing Facility, LLC
NPI #1114792801 in Clear Lake, Iowa
Provider Information
- NPI Number
- 1114792801
- Entity Type
- Organization
- Organization Name
- Clear Lake Ia Skilled Nursing Facility, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 22, 2023
- Last Updated
- Nov 22, 2023
Practice Location
- Address
- 400 US HIGHWAY 18 W
- City
- Clear Lake
- State
- Iowa
- ZIP Code
- 50428-1108
- Phone
- (641) 357-5244
Authorized Official
- Name
- CHAIM RAJCHENBACH
- Title
- PRINCIPAL
- Phone
- (847) 745-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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