Mosaic Valid NPI

Organization · Adult Care Home Facility · Logan, IA

NPI

1568514487

Type

Organization (Type 2)

Primary specialty

Adult Care Home Facility (Custodial Care Facility)

Specialty group

Nursing & Custodial Care Facilities

Taxonomy code

311ZA0620X

License number

780204 (IA)

Enumerated

2007-01-18

Last updated

2020-08-22