| NPI | 1578834008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CICELY A ROSS Technical Director, Internal Medici 404-219-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA RN177619) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2012-01-13 |