| NPI | 1134237373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI HOWELL Administrator 334-281-6336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12653) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2025-04-08 |