| NPI | 1821328725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER WALKER Cota/L 1888-362-8704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IA 000794) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |