| NPI | 1104911338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MANNING Administrator 870-777-8855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 706) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-08-27 |