| NPI | 1386711125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL T. JACOBSEN Administrator 563-382-8787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-169) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |