| NPI | 1407937709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAL-LEE SHA-REE SASSER Vice President 334-222-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2010-02-11 |