| NPI | 1124083761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKE BELL Chief Executive Officer 251-621-4223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12474) |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2012-01-19 |