| NPI | 1760581763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DALE PEACH CFO 641-469-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 510063H) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-02-26 |