| NPI | 1295126233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA CLAUDEAN OAKLEY CEO 606-233-0832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: NM 1066050) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |