| NPI | 1245314780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES FREDERICK PARKS Owner/Physician 770-538-5734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 018176) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-10 |