| NPI | 1003967365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA KOBLISKA Case Management Supervisor 641-394-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-09-25 |