| NPI | 1548260110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEENA K SANDEFUR Corporate Accts/Rec Manager 765-282-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2020-08-22 |