| NPI | 1740497403 |
|---|---|
| Doing Business As | BUENA VISTA MANOR |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. CARLSON General Manager 515-223-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: IA 0478248) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2011-07-15 |