| NPI | 1710035969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMARIS HUGHES Adminstrator 229-543-7309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 10101119) |
| Enumeration Date | 2007-01-06 |
| Last Update Date | 2020-08-22 |