NPI | 1922641992 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE BRIDGEWATER EVP, Treasurer & Secretary 515-875-4768 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2019-10-23 |
Last Update Date | 2019-10-23 |