| NPI | 1609070853 |
|---|---|
| Doing Business As | SOUTHERN TRADITIONS |
| Entity Type | Organization |
| Authorized Contact | R. MARK CRONQUIST Manager 404-574-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-071-1897) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: GA 1-071-1896) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2014-09-24 |