| NPI | 1265768238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAE PARTON Speech Language Pathologist 842-290-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: SC 4365) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |