| NPI | 1477506970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L NESMITH Administrator 256-852-0033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL N4505) |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: AL 12610) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2025-04-18 |