NPI | 1366421281 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM C. JACOBSON Board Chair 319-363-2420 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 570783) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2019-08-28 |