| NPI | 1861418774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRIS BOLIN CFO 870-382-8126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR AR4392) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit (Licence: AR AR4396) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-02-14 |