NPI | 1164416905 |
---|---|
Doing Business As | BROOKLYN COMMUNITY ESTATES |
Entity Type | Organization |
Authorized Contact | SHANE MICHAEL SISSEL Owner/Administrator 641-522-9263 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 790412) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 790412) |
Enumeration Date | 2005-09-08 |
Last Update Date | 2013-01-02 |