| NPI | 1770910275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KRONLAGE Dor PT A 319-721-4579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 001485) |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |