| NPI | 1548349194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK WILLIAM ERICKSON Manager 319-752-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0067) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |