| NPI | 1427055037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RICHARDSON Administrator 641-423-3355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 170364) |
| Enumeration Date | 2005-06-29 |
| Last Update Date | 2020-08-22 |