| NPI | 1568863785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WEBB Phlebotomy 888-550-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AL 1-106108) |
| Enumeration Date | 2014-09-07 |
| Last Update Date | 2014-09-07 |