NPI | 1811294333 |
---|---|
Doing Business As | KENWOOD MANOR |
Entity Type | Organization |
Authorized Contact | CHRIS BROGDON Manager 770-650-8793 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2011-02-18 |
Last Update Date | 2022-01-19 |