NPI | 1417043829 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CASTEEL CFO 731-642-1220 |
Organization Subpart ? | Yes |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TN 000000057) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2014-09-12 |