| NPI | 1083782080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE G BENSON, President 870-845-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 0055) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |