| NPI | 1720823503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ANDERSON Corporate Business Office Manager 385-498-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-06-25 |
| Last Update Date | 2024-06-25 |