| NPI | 1346214996 |
|---|---|
| Doing Business As | TWIN FOUNTAINS HOME |
| Entity Type | Organization |
| Authorized Contact | GERALD N FULKS President CEO 706-845-3244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2009-03-17 |