| NPI | 1518160191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE HAYES Registered Nurse 276-676-0829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: VA 0001124615) |
| Enumeration Date | 2007-06-09 |
| Last Update Date | 2020-08-22 |