NPI | 1144216995 |
---|---|
Doing Business As | OTTUMWA MANOR |
Entity Type | Organization |
Authorized Contact | HELEN J BROERMAN Administrator 641-684-4594 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 900432) |
Enumeration Date | 2005-09-26 |
Last Update Date | 2020-08-22 |