NPI | 1225224413 |
---|---|
Other Name | FAITH HOME ASSISTED LIVING |
Entity Type | Organization |
Authorized Contact | LADONNA MARIE GUNDERSON Administrator 641-732-5511 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0231) |
Enumeration Date | 2007-09-20 |
Last Update Date | 2007-09-20 |