Mt. Kenn Nursing, LLC

NPI #1053366336 in Marietta, Georgia

Provider Information

NPI Number
1053366336
Entity Type
Organization
Organization Name
Mt. Kenn Nursing, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 24, 2006
Last Updated
Jul 25, 2011

Practice Location

Address
1480 SANDTOWN ROAD
State
Georgia
ZIP Code
30008-3821
Phone
(770) 442-1755

Authorized Official

Name
BOYD P GENTRY JR.
Title
PRESIDNET AND CEO
Phone
(937) 964-8974

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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