| NPI | 1932200730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD GARY CRUMP President 770-786-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 11071744) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |