| NPI | 1891850475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE DENISE KIMBROUGH Administrator 706-653-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: GA 106-R-0032) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |