| NPI | 1508103763 |
|---|---|
| Doing Business As | NORTHWEST NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | BOYD P GENTRY President & CEO 678-869-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: OK NH5524-5524) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-05-22 |