| NPI | 1295819589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM PRICE CEO 641-456-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 350006H) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-12-02 |