| NPI | 1114061520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY WILDRICK Director Of Accounting 515-727-1468 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2010-09-01 |