| NPI | 1528290111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM DENNIS TAYLOR Physician 478-274-8489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-03-07 |