| NPI | 1063409464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GABRIELSON Administrator 563-243-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 230059) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2020-08-22 |