| NPI | 1669104592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN MONROE General Counsel And Secretary 385-240-6408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-10-23 |