Healthcare Provider Details

I. General information

NPI: 1255390027
Provider Name (Legal Business Name): RIVERVIEW DEVELOPMENT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 03/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 PARK ST
BELLEVUE IA
52031-1911
US

IV. Provider business mailing address

1201 PARK ST
BELLEVUE IA
52031-1911
US

V. Phone/Fax

Practice location:
  • Phone: 563-872-5521
  • Fax: 563-872-5609
Mailing address:
  • Phone: 563-872-5521
  • Fax: 563-872-5609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number490158
License Number StateIA

VIII. Authorized Official

Name: MR. DONALD L CHENSVOLD
Title or Position: MANAGER
Credential:
Phone: 319-362-8916