| NPI | 1558690685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA BARRETT Human Resoures 888-362-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 00667) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IA 00667) |
| Enumeration Date | 2009-12-21 |
| Last Update Date | 2010-01-14 |