| NPI | 1275569873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA L WALLACE Administrator 205-833-0146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12569) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-11-14 |