NPI | 1295108009 |
---|---|
Doing Business As | SHADESCREST HEALTH AND REHAB |
Entity Type | Organization |
Authorized Contact | MICHAEL E WINGET Member 478-994-3669 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-11-03 |
Last Update Date | 2015-11-03 |