| NPI | 1184745457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS P. SIMONS Senior VP Operations Finance 678-443-6827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WY 07143) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-11-17 |