| NPI | 1376091843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D MEER Vice President & Secretary 629-626-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2017-12-29 |