| NPI | 1871640144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY J BRUMMER Administrator 515-961-5245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IA 910498) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2013-01-30 |