| NPI | 1649267212 |
|---|---|
| Doing Business As | CONWAY LAKES HEALTH & REHABILITATION CENTER |
| Doing Business As | CONWAY LAKES HEALTH & REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMUEL B KELLETT As Sole Member Of Sbk Capital LLC 404-250-1846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL SNF11020963) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2022-02-14 |