NPI | 1598018707 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY RANDEL President 641-755-2125 |
Organization Subpart ? | Yes |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA R - 695) |
Enumeration Date | 2012-10-25 |
Last Update Date | 2012-10-25 |