| NPI | 1386655272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE JO HORNER Secretary /Treasurer 563-241-4230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2017-11-20 |