| NPI | 1689671679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DAUGHERTY Administrator 770-427-8727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-033-1268) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2012-03-14 |