| NPI | 1710050398 |
|---|---|
| Doing Business As | LONG TERM CARE TITLE XIX |
| Entity Type | Organization |
| Authorized Contact | ROBERT D. KROESE Chief Executive Officer 641-628-6604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |