| NPI | 1093708323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J AYERS Administrator 641-228-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 340164) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-11-19 |