NPI | 1891965695 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JO PIPKIN Executive Director 319-393-9500 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0195) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2008-03-07 |