NPI | 1093880072 |
---|---|
Other Name | JENNIE M. MELHAM MEMORIAL MEDICAL CENTER-LTC |
Entity Type | Organization |
Authorized Contact | TIMOTHY L SCHUCKMAN Vice President CFO 307-872-2625 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE LTCH004) |
Enumeration Date | 2006-11-22 |
Last Update Date | 2020-01-10 |