| NPI | 1003811456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE HINDERS CEO 641-847-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 0418) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2009-10-12 |