| NPI | 1306199849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. MARK CRONQUIST Manager 404-574-2100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF15320961) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2014-09-29 |