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 |