| NPI | 1508448697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON VICTOR Senior VP, Treasurer, Manager 515-875-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2021-04-27 |