NPI | 1497740443 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN SCHMITT Administrator 319-365-9171 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 165542) |
Enumeration Date | 2005-09-15 |
Last Update Date | 2008-01-30 |