| NPI | 1932358124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEE UDENE BAKER President 515-961-6673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IA 910597) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |