| NPI | 1205907748 |
|---|---|
| Doing Business As | GREENWOOD MANOR |
| Entity Type | Organization |
| Authorized Contact | JERRY NICHOLLS Owner 319-338-7912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 520101) |
| Additional Taxonomies | 385H00000X Respite Care (Licence: IA 520101) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2010-11-18 |