NPI | 1770769119 |
---|---|
Doing Business As | GORDON OAKS HEALTHCARE CENTER |
Entity Type | Organization |
Authorized Contact | TYGH BROGDON Manager 770-650-8773 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: AL N4926) |
Enumeration Date | 2008-01-16 |
Last Update Date | 2008-02-27 |