| NPI | 1194771410 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF ANDOVER |
| Entity Type | Organization |
| Authorized Contact | CINDY S. CROSS Assistant Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS N008007) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2008-02-12 |