NPI | 1336552157 |
---|---|
Doing Business As | AUTUMN LEAVES |
Entity Type | Organization |
Authorized Contact | MICHAEL J. ANDREASEN Senior Vice President 515-875-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 137363) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 138394) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2024-05-16 |