| NPI | 1265516801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELAINA B TOENJES Administrator 319-278-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA R205) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |