| NPI | 1831173996 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA P. BELL Administrator 912-523-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA ltc11531798) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2020-08-22 |