| NPI | 1780450924 |
|---|---|
| Doing Business As | THE PAVILION AT BRANDON WILDE |
| Entity Type | Organization |
| Authorized Contact | JASON C. VICTOR Sr. VP And Treasurer 515-875-4619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-11-29 |