| NPI | 1861534265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN ELLINGSON Administrator 563-568-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA 030709) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |