| NPI | 1093702565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY W GRIFFIN Regional VP Of Operations 770-228-8599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 11261150) |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2014-05-08 |