| NPI | 1548327364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL GROTELUSCHEN Pharmacist 515-382-7745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: IA 918) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 947) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2017-01-18 |