| NPI | 1134286750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI JEAN ALLEN Administrator 870-538-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 476) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |