| NPI | 1750353835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN H BLACKMON Nha, President , Owner/Operator 706-283-2194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-078-1735) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |