| NPI | 1477981199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY MATHIS Staffing Manager 877-571-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: SC RCP5096) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2013-10-15 |