| NPI | 1528203924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN C. KELLEY Administrator 334-566-1176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 1-089910) |
| Enumeration Date | 2008-12-13 |
| Last Update Date | 2008-12-13 |