| NPI | 1922816966 |
|---|---|
| Doing Business As | LOCUST GROVE RETIREMENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TIFFANY HOBACK Manager 770-698-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2024-12-23 |
| Last Update Date | 2025-03-10 |