| NPI | 1245263359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN ANSTIS Privacy Officer 770-619-0866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2551) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-08-05 |