| NPI | 1306806849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS HANSEN President/CEO 515-795-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 080797) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 080797) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-07-16 |