NPI | 1780633222 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD VICTOR HOLMAN President 501-224-0846 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AR 452) |
Enumeration Date | 2006-05-10 |
Last Update Date | 2013-12-04 |