NPI | 1285608489 |
---|---|
Entity Type | Organization |
Authorized Contact | DON M BUTCHER Administrator, V.P 712-546-7844 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 750489) |
Enumeration Date | 2006-02-14 |
Last Update Date | 2007-07-26 |