| NPI | 1952465320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD M WOLBERS Interim CEO 641-684-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IA 900055H) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-08-20 |