| NPI | 1093894099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK ALIBOZEK CFO 706-225-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 11061245) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 1106385) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2025-08-26 |