| NPI | 1003289372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN DODD Regional Director Of Rehabiliation 641-990-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 077050) |
| Enumeration Date | 2015-11-08 |
| Last Update Date | 2015-11-08 |