| NPI | 1316405194 |
|---|---|
| Doing Business As | SPLIT RAIL RESIDENTIAL CARE FACILITY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY MAE ROACH Administrator 870-887-2653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |