| NPI | 1760783633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA T GILBREATH Lpn 256-747-3798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |