| NPI | 1063586162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY MARIE BEDFORD Admin Asst 515-282-8457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home (Licence: IA 770488) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |