| NPI | 1497083273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA LAFLEUR Credentialing Department 866-568-9068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 105007) |
| Enumeration Date | 2009-12-06 |
| Last Update Date | 2009-12-06 |