NPI | 1093006074 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS R JAGER President 563-322-3501 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0089) |
Enumeration Date | 2011-04-26 |
Last Update Date | 2011-04-26 |