| NPI | 1598354276 |
|---|---|
| Doing Business As | COWETA MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | ISAAC DOLE Manager 773-645-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-10-29 |