NPI | 1609839471 |
---|---|
Doing Business As | NORTHRIDGE HEALTHCARE & REHABILITATION |
Entity Type | Organization |
Authorized Contact | JOEY MARTIN WIGGINS President 501-305-3153 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 789) |
Enumeration Date | 2006-04-11 |
Last Update Date | 2020-08-22 |