| NPI | 1013571074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA MEYER VP Of Revenue Cycle Management 733-384-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2021-08-04 |