| NPI | 1992715411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVIN M EHRLICH SVP 678-443-6772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: VA ALF535999) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: VA NH2516) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |