| NPI | 1790945202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN R MCGUIRE Reimbursement Manager 404-641-1919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: GA 11211847) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2008-06-10 |