| NPI | 1285634220 |
|---|---|
| Doing Business As | WEST LAKE MANOR HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS W PENLEY CEO 706-855-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |