| NPI | 1992910350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVETTE MYERS Facility Administrator 706-790-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: GA 12414140) |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-08-14 |