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 |