NPI | 1073500831 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE B HAVENS Administrator 205-384-9086 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10671) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2022-01-19 |