NPI | 1144294133 |
---|---|
Entity Type | Organization |
Authorized Contact | DON M BUTCHER Administrator, V.P. 712-546-7844 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA R489) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2022-07-21 |