| NPI | 1912992389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA D ALVAREZ Registered Agent 912-819-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-025-1469) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2025-05-20 |