| NPI | 1487641189 |
|---|---|
| Doing Business As | BOULEVARD REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | R. MARK CRONQUIST Manager 404-574-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF1058096) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2014-09-24 |