| NPI | 1033496518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C. MEYER Provisional Administrator 319-291-2509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IA 070529) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2013-05-10 |