| NPI | 1114129442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD V HOLMAN President 501-224-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 673) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |