| NPI | 1114002227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY LYNN SWANSON Administrator 334-638-6141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL n5302) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2016-12-08 |