| NPI | 1376549972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J BRUENING Administrator 515-576-5099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 940496) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2020-08-22 |