| NPI | 1093371064 |
|---|---|
| Doing Business As | GARDENDALE HEALTHCARE RESIDENCE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL LITTLE Manager 888-396-3462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-08-21 |