| NPI | 1245236645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD WALLS Administrator 256-784-5291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10633) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-09-12 |