| NPI | 1477554954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P HOLLANDER Administrator 912-354-8225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-025-1661) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |