| NPI | 1235135666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LOUISE YOUNGERS Nurse Adminstrator 712-957-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IA A128751) |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2013-08-15 |