| NPI | 1528051901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT HALBACH Administrator 641-324-1712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 980326) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: IA 980326) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 980326) | |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-09-16 |