NPI | 1841861465 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA TODD Operations Business Manager 800-299-5161 |
Organization Subpart ? | Yes |
Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
Enumeration Date | 2021-07-06 |
Last Update Date | 2021-07-06 |