| NPI | 1790842615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J JENKINS Qmrp Administrator 319-524-1871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 560091) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |