NPI | 1386623262 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW WENZEL CEO/President 319-768-3260 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 2900147H) |
Enumeration Date | 2006-01-10 |
Last Update Date | 2018-10-01 |