| NPI | 1932411956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE D MEER Vice President & Secretary 629-626-0000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility (Licence: NC NH0090) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2017-12-29 |