| NPI | 1437328796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALRENE ALLEN-MARTIN CEO/Manager 678-687-7152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 149168) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2009-04-16 |