| NPI | 1417904079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E. FALLAW President 229-268-7510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-012-1867) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2007-10-04 |