| NPI | 1851308969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN CONWAY NIEDERT Administrator 319-345-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 165522) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IA 0386) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2011-08-24 |