| NPI | 1407930936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY EDWAARD WESTBROOK Director Of Veterans Services 984-204-2982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0616) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-06-15 |