| NPI | 1750381737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JACKSON MORRIS Managing Member 706-378-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-041-1809) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2020-08-22 |