| NPI | 1558355370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA SCOTT HERRON Administrator 912-764-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-016-1767) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-09-28 |