| NPI | 1730174657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY PEW Administrator 515-262-5639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 770825) |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2020-08-22 |