| NPI | 1962771147 |
|---|---|
| Doing Business As | KNIGHTS MANOR PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | LINDA KNIGHT GORDON Owner/Adminsrtator 229-762-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: GA 065010161) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care (Licence: GA 065010161) |
| 305S00000X Point of Service (Licence: GA 065010161) | |
| Enumeration Date | 2011-12-18 |
| Last Update Date | 2011-12-18 |