| NPI | 1952563009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JANE DESCHAMP Manager 641-752-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0086) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-06-30 |