| NPI | 1922003177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN THOMPSON Administrator 770-834-1737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1-022-1170) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2020-08-22 |