NPI | 1174519672 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A KIRSCHLING Administrator 319-728-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2005-09-21 |
Last Update Date | 2020-08-22 |