| NPI | 1700749355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FALLON HARRIS C.E.O 229-546-7153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2025-12-09 |
| Last Update Date | 2025-12-09 |