| NPI | 1346276938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN BURRELL GREENE Administrator 334-548-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12603) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-03-31 |