NPI | 1982698296 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM HOCKING Administrator 319-385-8095 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IA N0237) |
Enumeration Date | 2005-09-01 |
Last Update Date | 2020-08-22 |