| NPI | 1073316196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NENEMAN Hr 531-777-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-01 |