| NPI | 1811922826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB CLARK Director Of Operations 563-322-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 165436) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |