NPI | 1760296933 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA JANE MADDISON Administrator 515-265-2172 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
Additional Taxonomies | 372600000X Adult Companion |
Enumeration Date | 2025-02-06 |
Last Update Date | 2025-02-06 |