NPI | 1073717153 |
---|---|
Entity Type | Organization |
Authorized Contact | DENISE M. SMITH Financial Secretary 641-236-6151 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA I-277) |
Enumeration Date | 2007-06-13 |
Last Update Date | 2020-08-22 |