| NPI | 1871862003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KAVANAGH President 251-605-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MS 12072634) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |