| NPI | 1821313313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VAUGHN CFO 870-265-5351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR AR4386) |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2015-06-30 |