| NPI | 1639472871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISA D WINGET Manager 478-974-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2014-07-03 |