| NPI | 1699849448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE HORST Controller 641-450-5095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 170219) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2025-08-28 |