Shady Grove Rest Home INC
NPI #1538228648 in Kennesaw, Georgia
Provider Information
- NPI Number
- 1538228648
- Entity Type
- Organization
- Organization Name
- Shady Grove Rest Home INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- MR. JAMES W ROSS JR.
- Title
- ADMINISTRATOR
- Phone
- (770) 427-7256
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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