| NPI | 1649260225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRENTISS SMITH Chief Operating Officer 251-476-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 103749) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2009-04-13 |