| NPI | 1275639429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY J. MARTIN Secretary 251-666-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: AL 12769) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: AL 12642) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |