| NPI | 1841238326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONDA WELLS Administrator 478-995-5016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-135-1716) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2023-09-28 |