NPI | 1790771020 |
---|---|
Entity Type | Organization |
Authorized Contact | A BRANDON ADAMS President 501-932-0050 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AR 755) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2015-01-30 |