| NPI | 1639180748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT L MCCUTCHAN CFO 641-782-3899 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 880053H) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-03-08 |