| NPI | 1114012804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D BROWN CFO 641-932-1750 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IA 680073h) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-08-25 |