| NPI | 1295238418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MONROE General Counsel And Secretary 385-240-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-10-23 |