| NPI | 1013401132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GILLILAND Regional Financial Consultant 256-825-9274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 18101) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |