| NPI | 1265597520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EZINWA CHIZOM NWOSU Administrator 770-378-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: GA 048-R-0266) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2008-02-05 |