| NPI | 1083738132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN MARIE CAHILL Administrator 515-992-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA N-199) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-199) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2009-05-01 |