NPI | 1871705046 |
---|---|
Entity Type | Organization |
Authorized Contact | CHUCK WRIGHT Corp Officer 641-424-4031 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care (Licence: IA AADS502) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2020-08-22 |