| NPI | 1134121106 |
|---|---|
| Doing Business As | KINGSWOOD NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | ROBERT HAGAN President 770-993-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2019-07-18 |