| NPI | 1669334306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REMI M JACOB Executive Director 319-693-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747A0650X Technician, Attendant Care Provider |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2025-12-02 |
| Last Update Date | 2025-12-02 |