| NPI | 1053300566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM C. DAVIS President 478-988-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 10131392) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2012-04-13 |