| NPI | 1588052096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EUGENE HARRIS Chief Officer 22887-576-4827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 36-620) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: MS 36-620) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |