NPI | 1366439952 |
---|---|
Doing Business As | SPRING LAKE REHABILITATION CENTER |
Entity Type | Organization |
Authorized Contact | SAMUEL B. KELLETT As Sole Member Of Sbk Capital LLC 404-233-7048 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF15110961) |
Enumeration Date | 2005-09-29 |
Last Update Date | 2014-07-29 |