NPI | 1649378621 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK A VANDERLINDEN CFO 515-386-2114 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 16E176) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2016-06-08 |