| NPI | 1235292871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYGH BROGDON Manager 770-650-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TN 0000000072) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-09-29 |