| NPI | 1114922481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALLEEN ENGELS CFO 515-573-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 940037) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 940037) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2022-01-21 |