| NPI | 1841285913 |
|---|---|
| Doing Business As | RANDOLPH NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | DENNIS WEATHERFORD CEO 765-301-7531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2020-10-06 |