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 |