NPI | 1184605693 |
---|---|
Doing Business As | PEBBLEBROOK HEALTH CENTER AT PARK SPRINGS |
Entity Type | Organization |
Authorized Contact | KEVIN W. ISAKSON Manager 404-932-6552 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-044-1825) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: GA 044-03-031-1) |
Enumeration Date | 2005-11-10 |
Last Update Date | 2019-05-02 |