| NPI | 1114097995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA JEAN WALKER Administrator 515-993-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 0229) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |