| NPI | 1114247335 | 
|---|---|
| Doing Business As | SOUTHERN TRACE REHABILITATION AND CARE CENTER | 
| Entity Type | Organization | 
| Authorized Contact | NANCY BROWN Administrator 501-847-0777 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 314000000X Skilled Nursing Facility | 
| Enumeration Date | 2010-06-10 | 
| Last Update Date | 2015-02-13 |