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 |