NPI | 1528006012 |
---|---|
Doing Business As | MI CASA NURSING CENTER |
Entity Type | Organization |
Authorized Contact | CINDY S CROSS Assistant Secretary 423-473-5867 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AZ NCI-372) |
Enumeration Date | 2006-06-04 |
Last Update Date | 2010-09-20 |