| NPI | 1083901706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY GIBBS Administrator 478-987-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 00140467A) |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2015-05-04 |