NPI | 1487038154 |
---|---|
Doing Business As | WALNUT RIDGE NURSING AND REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | ROSS PONTHIE Member 318-443-8167 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-07-13 |
Last Update Date | 2019-01-17 |