| NPI | 1609807585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKIE SUE RENEAU Administrator 319-526-8772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IA 560054h) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2021-09-08 |