| NPI | 1841377983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR AR4230) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-02-06 |