| NPI | 1013910553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY HUFSEY Administrator/Treasurer 563-484-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 820128) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2018-08-30 |