NPI | 1326003989 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRK ERICKSON Operations Manager 319-752-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2006-04-18 |
Last Update Date | 2020-08-22 |