| NPI | 1467703041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN WETZ Speech Language Pathologist 712-366-0286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 002138) |
| Enumeration Date | 2012-09-24 |
| Last Update Date | 2012-09-24 |