NPI | 1689913451 |
---|---|
Entity Type | Organization |
Authorized Contact | SCOTT BLAKLEY CEO 385-234-0944 |
Organization Subpart ? | No |
Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: UT 2013-HOSP-UT000575) |
Enumeration Date | 2013-02-13 |
Last Update Date | 2014-05-27 |