| 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 |