NPI | 1912970401 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI JOHNSON Chief Operations Officer 641-774-3360 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 16Z341) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2020-12-16 |