NPI | 1326114026 |
---|---|
Entity Type | Organization |
Authorized Contact | BARRY WHITSELL Chief Executive Officer 712-324-4873 |
Organization Subpart ? | No |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: IA IMR-526) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2020-08-22 |