| NPI | 1609099811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BUNN Administrator 563-422-5606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 0234484) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |