NPI | 1659367134 |
---|---|
Entity Type | Organization |
Authorized Contact | LAWRENCE STUMME President 319-984-5372 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 0910099) |
Enumeration Date | 2005-09-21 |
Last Update Date | 2011-06-10 |