| NPI | 1609930460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE VON MOCK CEO 641-648-7010 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 420156H) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-11-25 |