| NPI | 1194854638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LEWIS VONWALDNER President 912-354-2752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 10251060) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |