| NPI | 1740283795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT DYLAN ARMSTRONG Director Of Compliance 515-709-4398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA N-0268) |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: IA R-268) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-0268) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2025-01-27 |