| NPI | 1346661568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERDINAND MEDIKO CEO 404-543-9163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 060-R-1118) |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |