| NPI | 1013494889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHENSVOLD President 319-362-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |