NPI | 1013340470 |
---|---|
Doing Business As | WALNUT RIDGE NURSING AND REHAB CENTER |
Entity Type | Organization |
Authorized Contact | ROSS PONTHIE Managing Member 318-443-8167 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2013-08-20 |
Last Update Date | 2014-11-14 |