| NPI | 1316011323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA PETERSON Business Office Manager 563-324-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |