| NPI | 1669613071 |
|---|---|
| Doing Business As | THE SHANNON GRAY REHABILITATION & RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | RICHARD GRAY BENNETT President 336-253-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2010-12-08 |