| NPI | 1861937187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOTOYA SCOTT Nurse Practitioner 251-391-4249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2016-12-22 |