| NPI | 1063802601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY L FARLEY Administrator 641-743-6131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0050) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |