| NPI | 1750679098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM STEVEN NUTTY Compliance, Audit & Privacy Officer 515-309-7803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-05-18 |