| NPI | 1124112230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY L BURCHETT CEO 319-376-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 560087H) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-05-11 |