| NPI | 1306189105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY W VOYNA Member 515-276-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: APPLIED FOR) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |