| NPI | 1841328135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONNY SLATE Chief Operation Officer 404-243-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: GA 2044856) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2009-08-18 |