| NPI | 1801485404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY CARRAWAY CFO 724-742-2246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-18 |