| NPI | 1144511635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY HOLLIMAN Superintendent 479-272-3113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY R41981) |
| Enumeration Date | 2011-05-02 |
| Last Update Date | 2011-05-02 |