| NPI | 1881690154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY HOOKER Administrator 205-486-9478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL 10674) |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2022-02-15 |