NPI | 1376604082 |
---|---|
Doing Business As | FORT VALLEY HEALTH CARE |
Entity Type | Organization |
Authorized Contact | TYGH BROGDON Manager 770-650-8773 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-111-1746) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2008-09-29 |