| NPI | 1891737250 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | BRAD RYAN LORENZEN Administrator 641-347-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 880525) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2010-02-25 |