| NPI | 1417163197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE W SOUCEK Asst Adm 712-262-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 210065) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |