| NPI | 1023255817 |
|---|---|
| Doing Business As | KINNIC LONG TERM CARE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS K MITTLEIDER President 770-619-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |