| NPI | 1922078286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA TISDEL Administrator 319-752-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 290250) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |