NPI | 1730391947 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY DIANE HOWELL Vice President 641-469-5778 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA SO170) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |