| NPI | 1215919949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE VENTEICHER Administrator 712-999-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 140430) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: IA 140430) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2011-12-14 |