NPI | 1578541611 |
---|---|
Doing Business As | ENNOBLE MANOR CARE CENTER |
Entity Type | Organization |
Authorized Contact | KENNETH D. CARLSON General Manager 515-223-6064 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 310764) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2010-09-01 |