| NPI | 1609996552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLE C SANTORO Sr Director Ar 832-467-5728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC NH0481) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NC NH0481) |
| Enumeration Date | 2007-03-31 |
| Last Update Date | 2020-11-17 |