NPI | 1700239712 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIKO WILBRICHT Administrator 563-690-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: IA ADS109) |
Enumeration Date | 2016-07-14 |
Last Update Date | 2016-07-14 |