| NPI | 1194887893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T HANNAN Physician 770-526-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: DC 025759) |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC 025759) |
| 305S00000X Point of Service (Licence: DC 025759) | |
| Enumeration Date | 2006-12-16 |
| Last Update Date | 2018-06-21 |