| NPI | 1629247952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA WITTS Human Resources Representative 1800-804-4494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: SC 2745) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: SC 2745) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2008-02-20 |