| 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 |