| NPI | 1194712760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN B CAMPBELL CEO/Administrator 712-262-5931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 0803775) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 165484) |
| 310400000X Assisted Living Facility (Licence: IA 0158725) | |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2013-07-22 |