NPI | 1609172881 |
---|---|
Doing Business As | WESTSIDE HEALTH CARE |
Entity Type | Organization |
Authorized Contact | PHILLIP CODY LONG CFO 479-464-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 037160) |
Enumeration Date | 2011-02-04 |
Last Update Date | 2014-11-07 |