| NPI | 1093390247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON KAMINER Manager 712-647-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2021-03-09 |