| NPI | 1841656949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYNOR LYNETTE LOVETT Co Owner 706-729-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 121-R-0033) |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2016-01-06 |