| NPI | 1821248469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PHILLIPS Director Of Rehab 788-271-6808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: KS 1702421) |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2008-09-19 |