NPI | 1447369574 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM PENLAND Owner/Administrator 205-594-5148 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12672) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-08-16 |