| NPI | 1285620526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL T JACOBSEN Administrator 563-382-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N 169) |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-08-22 |