NPI | 1225104920 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY WHITSELL Chief Executive Officer 712-324-4873 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA 0894949) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2020-08-22 |