| NPI | 1831941764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY JACKSON Administrator 470-426-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 251J00000X Nursing Care | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |