| NPI | 1558357368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD FALLAW President 229-268-7510 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-033-1793) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2007-10-04 |