| NPI | 1427119353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL RAY HUTCHINSON Administrator Owner 319-394-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA R0360) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2012-07-03 |