| NPI | 1083796106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL OKWUDILI OBUROTA Administrator 770-209-9998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: GA 060-R-0111) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-09-24 |