NPI | 1669450615 |
---|---|
Doing Business As | PLYMOUTH MANOR CARE CENTER |
Entity Type | Organization |
Authorized Contact | THOMAS RICHARD AMLIE President 319-290-1490 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 750234) |
Enumeration Date | 2006-01-09 |
Last Update Date | 2012-03-27 |