NPI | 1962404905 |
---|---|
Doing Business As | EDGEWOOD NURSING CENTER |
Entity Type | Organization |
Authorized Contact | ROBERT HAGAN President 770-993-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2005-08-10 |
Last Update Date | 2019-07-18 |