| NPI | 1114140258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BUNN Administrator 563-422-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 112548000) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |