NPI | 1972598498 |
---|---|
Doing Business As | MAYFLOWER HOME INC. |
Entity Type | Organization |
Authorized Contact | EDWARD R. POUSH Administrator 641-236-6151 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 0277) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA 0277) |
Enumeration Date | 2005-09-12 |
Last Update Date | 2011-10-26 |