| NPI | 1750379962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DIANE NEWTON Administrator 712-642-2264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 430093) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2009-10-28 |