| NPI | 1124224969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R GROSENHEIDER Managing Member 712-540-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 770236) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2013-11-26 |