Canton Convalescent Center INC

NPI #1518957968 in Canton, Georgia

Provider Information

NPI Number
1518957968
Entity Type
Organization
Organization Name
Canton Convalescent Center INC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 26, 2005
Last Updated
Nov 29, 2011

Practice Location

Address
321 HOSPITAL RD
City
Canton
State
Georgia
ZIP Code
30114-2411
Phone
(770) 479-8791

Authorized Official

Name
MR. SCOTT F. SHAW
Title
ADMINISTRATOR
Phone
(770) 479-8791

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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