| NPI | 1104110642 |
|---|---|
| Doing Business As | FORT DODGE HEALTH AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2021-02-23 |