| NPI | 1033178504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL DUNNAM CFO 251-743-7137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AL 12609) |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2024-03-06 |