| NPI | 1679527840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM ALLEN President 515-202-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 770155) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-09-04 |