NPI | 1902886039 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLEN ANDERSON CEO 712-794-5025 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 140090H) |
Enumeration Date | 2006-01-17 |
Last Update Date | 2023-10-16 |