| NPI | 1164429775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STEWART Bookkeeper 515-576-7226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 940900) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2007-09-13 |