NPI | 1679630792 |
---|---|
Doing Business As | TABITHA OF CRETE |
Entity Type | Organization |
Authorized Contact | DARIN OHE CFO 218-291-2216 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: NE NH0003) |
313M00000X Nursing Facility/Intermediate Care Facility | |
Enumeration Date | 2007-01-02 |
Last Update Date | 2024-11-20 |