| NPI | 1215001995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE LITTLE Billing Office Manager 515-262-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IA 770825) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |