NPI | 1366537185 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN LEE WHITE Executive Director 302-894-1001 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: DE 1967) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-01-09 |