| NPI | 1588620637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS D JOHNSON Secretary 515-223-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 250907) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-02-10 |