C.r. of Autumn Breeze, LLC

NPI #1053797340 in Marietta, Georgia

Provider Information

NPI Number
1053797340
Entity Type
Organization
Organization Name
C.r. of Autumn Breeze, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 10, 2015
Last Updated
Aug 10, 2015

Practice Location

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

Authorized Official

Name
MICHAEL E WINGET SR.
Title
MEMBER
Phone
(478) 994-3669

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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