| NPI | 1174716542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI FAHRENKROG Manager 563-285-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0260) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |