| NPI | 1063578359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA KAY BRAMER Administrator 563-652-5354 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 490571) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2008-06-17 |