NPI | 1851553499 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J HENTZEN CEO, PT 515-331-3190 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 004072) |
Enumeration Date | 2008-06-25 |
Last Update Date | 2008-06-25 |