| NPI | 1730123563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY W WHITSELL Chief Executive Officer 712-324-4873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2020-08-22 |