| NPI | 1437163292 |
|---|---|
| Doing Business As | THE PAVILION AT ST. LUKE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TIM LEHNER Manager 770-698-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-09-13 |