| NPI | 1265482541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM YOUNG Business Office Manager 641-437-3413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 165564) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-12-11 |