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 |