| NPI | 1386997781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DAVID Physical Therapy Assistant 479-330-0187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR OTR1586) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2012-10-23 |