| NPI | 1275708885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E SANDERS Administration / CEO 870-352-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2017-05-18 |