| NPI | 1376822924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH MAE SCHWARTZ Speech Language Pathologist 1308-534-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 275) |
| Enumeration Date | 2011-08-14 |
| Last Update Date | 2011-08-14 |