| NPI | 1992098545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA WASHINTON CEO 251-639-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health (Licence: AL 1059384) |
| 251J00000X Nursing Care (Licence: AL 1059384) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: AL 1059384) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-10-21 |