| NPI | 1780686220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A. ANDERSON Administrator 712-323-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 780508) |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2011-10-26 |