NPI | 1366525891 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL JOHNSTON CEO 641-446-4871 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 270089H) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2021-03-09 |