| NPI | 1346297603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA LALOR Director/Delegated Official 629-215-3953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WV 55) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2021-04-01 |