| NPI | 1790839579 |
|---|---|
| Doing Business As | GEORGIA MANOR NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | GERRY FOWLER President 972-355-4957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 4604) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |