NPI | 1588738918 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN CAMERON Nurse Manager 641-464-0651 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0100) |
Enumeration Date | 2006-11-18 |
Last Update Date | 2020-08-22 |