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 |