| NPI | 1780613372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAY L TAKES President 563-589-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 310003H) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-10-20 |