| NPI | 1952488348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J. SKURDAL Administrator 563-422-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA n406) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |