| NPI | 1780776252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDMUND J. OSBY Owner/Administrator 641-472-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 510388) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 510388) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2012-02-01 |