| NPI | 1932161106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER SELLS Administrator 319-882-4269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-393) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-08-15 |