| NPI | 1841355575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN LUFT-WISKUS Credentialing COO Rdinator 515-289-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: IA 650726) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2024-07-17 |