| NPI | 1740535061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE COLWELL CFO 870-460-3569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR AR4799) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2021-02-26 |