NPI | 1376601997 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID F AYERS Administrator 641-228-2800 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0194) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2008-06-16 |