| NPI | 1952307472 |
|---|---|
| Doing Business As | COMMUNITY NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | HENRY J MENNENGA Vice President 319-278-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 120205) |
| Additional Taxonomies | 332U00000X Home Delivered Meals (Licence: IA 120205) |
| 385H00000X Respite Care (Licence: IA 120205) | |
| Enumeration Date | 2005-06-21 |
| Last Update Date | 2012-01-18 |