| NPI | 1669645578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KENT SWANSTROM Executive Director 515-471-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251T00000X PACE Provider Organization (Licence: IA H8424) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2023-12-21 |