| 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 |