| NPI | 1336310325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID LEWIS Administrator 870-875-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 841) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2015-04-15 |