| NPI | 1184659153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN STAGMAN Credentialing Specialist 563-252-1121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2024-10-24 |