NPI | 1063593960 |
---|---|
Entity Type | Organization |
Authorized Contact | SUE MORROW Administrator 712-284-1739 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA R0175) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2020-08-22 |