| NPI | 1184613358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARITY MAE CHAMBERS Administrator 770-400-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-038-235) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2024-08-19 |