| NPI | 1932193059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY NELSON Administrator 712-930-3228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N-410) |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2020-08-22 |