| NPI | 1992881585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY J ZENOR Executive Director 712-276-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IA S0172) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |