| NPI | 1720359185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA HALEY VP, Human Resources 800-243-4556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL OTA11753) |
| Enumeration Date | 2012-01-17 |
| Last Update Date | 2012-01-17 |