| NPI | 1194511568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY HENSON Rcd, Authorized Official 336-944-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2026-05-21 |