| NPI | 1780801175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD L CHENSVOLD Manager 319-362-8916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 450329) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |