NPI | 1114088168 |
---|---|
Entity Type | Organization |
Authorized Contact | KRYSTA STEVENS Accountant 515-699-3367 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
332U00000X Home Delivered Meals | |
Enumeration Date | 2006-12-13 |
Last Update Date | 2024-01-12 |