| NPI | 1306969639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN VANGILDER Chief Financial Officer 501-228-3813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |