NPI | 1679514434 |
---|---|
Doing Business As | JESUP HEALTHCARE |
Entity Type | Organization |
Authorized Contact | TYGH ANGWIN BROGDON Manager 770-650-8773 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-151-1864) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2008-09-29 |