NPI | 1447241559 |
---|---|
Doing Business As | FREDERICK VILLA NURSING & REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | JOHN P. O'BRIEN Chief Manager 423-308-1845 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD 783) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2012-12-18 |