| NPI | 1588835904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE RIGGLE Recruiter 800-322-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NH 3246) |
| Enumeration Date | 2008-03-13 |
| Last Update Date | 2008-03-13 |