NPI | 1477783587 |
---|---|
Doing Business As | FITZGERALD NURSING HOME |
Entity Type | Organization |
Authorized Contact | DAVIS W KING Vice President 229-639-0021 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-009-992) |
Enumeration Date | 2009-07-23 |
Last Update Date | 2009-07-23 |