| NPI | 1639452527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN NICHOLE O'DAY Cota/L 302-632-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MD A01860) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |