| NPI | 1427126614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DENNIS TAYLOR Physician 478-285-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 033213) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |