| NPI | 1023375870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SYLVIA SMITH Housing Manager 712-623-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA 50137) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2013-04-09 |