| NPI | 1235225699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN P BLEND Executive Director Administrator 515-255-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA S384) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA S384) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |