| NPI | 1124298328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E WINGET Secretary 478-974-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-011-1916) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2015-05-05 |