| NPI | 1508855271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JAMES TOMSCHA Administrator 712-252-2726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 0145) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2012-01-13 |