| NPI | 1962546374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY WILDRICK Director Of Accounting 515-727-1468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: IA 770916) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |