| NPI | 1316935422 |
|---|---|
| Doing Business As | CHURCH HOME FOR THE AGED |
| Entity Type | Organization |
| Authorized Contact | KATHY GIBBS Administrator 478-987-1239 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 20635S) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2011-09-22 |