| NPI | 1669410593 |
|---|---|
| Doing Business As | MAJESTIC CARE OF SOUTHPORT |
| Entity Type | Organization |
| Authorized Contact | GREGG A. MALOTT CFO 574-946-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000151-1) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2022-03-10 |