| NPI | 1437212016 |
|---|---|
| Doing Business As | WESTSIDE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | TYGH BROGDON Manager 770-650-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0045732) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |