| NPI | 1497921464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY UDENE BAKER Administrator 515-961-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 251J00000X) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |