| NPI | 1649423021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE E WIESE Accounting Manager 515-255-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |