| NPI | 1386636033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE L HALL Assistant Administrator 251-865-6443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10610) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |