| NPI | 1740812288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BATYA GORELICK VP Of Admin Services 270-343-2101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |