| NPI | 1699716639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA B RAY Administrator 731-644-8912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000128) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-02-24 |