| NPI | 1861896383 |
|---|---|
| Doing Business As | STANLY LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | DANIEL LESLIE WIENS SVP/Operations Cpn 704-986-6307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2015-02-20 |