NPI | 1518115062 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD PARKER HIGHTOWER Director 479-471-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TN 318) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2008-09-08 |