| NPI | 1285797415 |
|---|---|
| Other Name | OSAGE GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | JACK BROWN Executive Director 641-228-4842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 660487) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |