| NPI | 1114267739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KNIOLA President/Owner 256-375-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 1-068065) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: AL 1-068065) |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AL 1-068065) | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-02-19 |