| NPI | 1508021122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEDDY HAYMON Vice President 256-638-8479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12672) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-09-26 |