| NPI | 1093138059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE F MURRAY Administrator 870-898-5101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2022-07-21 |