| NPI | 1811005846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W. HISE Administrator 334-872-3471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 12523) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2009-02-10 |