| NPI | 1750367538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A ROBINSON Administrator 251-433-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10608) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2013-09-02 |