| NPI | 1972599876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON SHERER Asst. Administrator 712-647-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA N-306) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2011-10-10 |