NPI | 1073616462 |
---|---|
Entity Type | Organization |
Authorized Contact | ROSEMARY FRITTS Administrator 870-285-3182 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR 82) |
Enumeration Date | 2006-09-07 |
Last Update Date | 2020-08-22 |