| NPI | 1265425490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVIA K. BANDOW Administrator 712-664-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 165488) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 810342) |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2009-12-03 |