| NPI | 1376686766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN CHARLTON Medical Records Specialist 319-553-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 070154) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2022-11-03 |