| NPI | 1912993841 |
|---|---|
| Former Legal Business Name | BUENA VISTA MANOR CARE CENTER INC. |
| Entity Type | Organization |
| Authorized Contact | KENNETH D. CARLSON General Manager 515-223-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 165596) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 110129) |
| 385H00000X Respite Care (Licence: IA 0478248) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2011-07-20 |