NPI | 1538157466 |
---|---|
Doing Business As | HIRAM SHADDOX GERIATRIC CENTER |
Entity Type | Organization |
Authorized Contact | JOHNIECE TAYLOR Sec 870-368-4050 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 765) |
Enumeration Date | 2005-10-13 |
Last Update Date | 2020-08-22 |