| NPI | 1003276882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK CHRISTOPHER HAYWOOD Director 515-270-0093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2022-03-04 |