Healthcare Provider Details

I. General information

NPI: 1437924172
Provider Name (Legal Business Name): SWEA CITY IA SKILLED NURSING FACILITY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/22/2023
Last Update Date: 11/22/2023
Certification Date: 11/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 3RD ST N
SWEA CITY IA
50590-1021
US

IV. Provider business mailing address

207 3RD ST N
SWEA CITY IA
50590-1021
US

V. Phone/Fax

Practice location:
  • Phone: 515-477-0139
  • Fax:
Mailing address:
  • Phone: 515-477-0139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: CHAIM RAJCHENBACH
Title or Position: PRINCIPAL
Credential:
Phone: 847-745-7000