| NPI | 1053405803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLINDA LEE MANTERNACH Administrator 563-556-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-307) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-10-09 |