NPI | 1194141549 |
---|---|
Doing Business As | SGMC LAKELAND VILLA |
Entity Type | Organization |
Authorized Contact | JULIE W HODGES Controller 229-259-4140 |
Organization Subpart ? | Yes |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 1-086-2043) |
Enumeration Date | 2014-03-10 |
Last Update Date | 2023-11-27 |