| NPI | 1427017920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMNIE CHAN BENNETT Nursing Home Administrator 912-748-6840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2022-07-21 |