| NPI | 1972863421 |
|---|---|
| Doing Business As | THE WATERS OF SCOTTSBURG |
| Entity Type | Organization |
| Authorized Contact | DENNIS WEATHERFORD CEO 765-301-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2021-05-03 |