NPI | 1285630541 |
---|---|
Doing Business As | HIAWATHA CARE CENTER |
Entity Type | Organization |
Authorized Contact | KENNETH D. CARLSON Corporate Secretary 515-223-6064 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 570660) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 570660) |
Enumeration Date | 2005-06-22 |
Last Update Date | 2012-01-27 |