| NPI | 1568704559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA VIRGINIA CARSON President 404-467-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 060R1003) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-03-18 |