| NPI | 1285636910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ROBERTS CFO 641-456-5636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 450794) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 261QA0600X Clinic/Center, Adult Day Care | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2024-01-05 |