| NPI | 1104099712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HENSON Rcd 336-944-6420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TN 0000000028) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2022-07-01 |