NPI | 1538161971 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID AYERS Administrator 641-228-2353 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 340392) |
Enumeration Date | 2005-08-15 |
Last Update Date | 2007-07-18 |