| NPI | 1821113465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAM P. PALOMARIA Administrator 334-834-5590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: AL N5104) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |