| NPI | 1881079929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK WOODLEY CLARK PT A 828-448-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NC 5172) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: NC 5172) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |