| NPI | 1932495389 |
|---|---|
| Doing Business As | NORTH LAKE MANOR |
| Entity Type | Organization |
| Authorized Contact | JOSEPH P DEWITT CFO/Owner 712-574-7312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 110129) |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2012-08-06 |