| NPI | 1801932181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KAY DELAROSA Staff Nurse 563-332-8528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: IA 059775) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2008-08-08 |