| NPI | 1619922523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. MORTON President 479-783-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MO 032577) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2007-10-16 |