NPI | 1083605836 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL I SORENSON Senior Vice President 515-875-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: HI OHCA#55-N) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: HI OHCA-55-N) |
314000000X Skilled Nursing Facility (Licence: HI 55-N) | |
Enumeration Date | 2005-11-01 |
Last Update Date | 2019-08-28 |