| NPI | 1437471695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LLOYD Cota 260-450-0514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 320001619A) |
| Enumeration Date | 2010-02-15 |
| Last Update Date | 2010-02-15 |