| NPI | 1043275639 |
|---|---|
| Former Legal Business Name | HUMBOLDT ACQUISITION CORP |
| Entity Type | Organization |
| Authorized Contact | ROBIN F BRADLEY Secretary 615-595-8383 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000190) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 0086) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2021-05-03 |