| NPI | 1780752923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MYERS President 712-293-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 740851) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |