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 |