| NPI | 1134448202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA EILEEN BRIA Cota 706-414-9466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OH 04116) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |