NPI | 1912340480 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW CHARLES GAUNT P.T. 231-884-5450 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 26136) |
Enumeration Date | 2013-04-15 |
Last Update Date | 2013-04-15 |