| NPI | 1629458963 |
|---|---|
| Doing Business As | THE LODGE |
| Entity Type | Organization |
| Authorized Contact | DEBORAH L MEADE Member 478-328-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-076-2068) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-07-24 |