| NPI | 1992738199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS W KING President 229-639-0021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 1137704) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |