| NPI | 1043291859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON MONTGOMERY CFO 276-238-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: VA H1909) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2007-10-16 |