| 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 |