| NPI | 1669723987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH W FRAZIER Owner/RN 678-634-9668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA RN184260) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |