NPI | 1679808240 |
---|---|
Entity Type | Organization |
Authorized Contact | REBECCA NESBITT Program Manager 704-532-5364 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 4255) |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-14 |