NPI | 1114913977 |
---|---|
Doing Business As | VISTA WOODS CARE CENTER |
Entity Type | Organization |
Authorized Contact | RONALD L STURSMA Administrator 641-683-3372 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA N687) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N687) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2012-09-19 |