| NPI | 1073914719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAPSY GLOVER Apn 501-227-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: AR A03199) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: AR A03199) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |