| NPI | 1356348965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STEWART Bookkeeper 641-792-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 500899) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2008-06-17 |