| NPI | 1780664789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DEWILD Administrator 712-246-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 0056) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2009-12-15 |