NPI | 1841288917 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA DELAGARDELLE CEO 319-824-5421 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 380114H) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2020-08-22 |