| NPI | 1336137488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YATAISHA FELEESE ROBERTSON Director Of Nursing 334-230-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: AL 08394) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2020-08-22 |