| NPI | 1710989462 |
|---|---|
| Doing Business As | MOSS OAKS HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | THOMAS W PENLEY CEO 706-855-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2020-08-22 |