| NPI | 1922175611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C GREINER Consultant Pharmacist 515-250-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 19373) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |