| NPI | 1346214137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DON M BUTCHER Administrator 712-546-7844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 750489) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2016-07-14 |