Organization
C.R. OF AUTUMN BREEZE, LLC
Active
Other names
Autumn Breeze Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E WINGET SR. (MEMBER)
(478) 994-3669
Entity
Organization
Contact information
Practice address
1480 SANDTOWN RD SW, MARIETTA, GA 30008-3821
(770) 442-1755
(770) 442-8784
Mailing address
1480 SANDTOWN RD SW, MARIETTA, GA 30008-3821
(770) 442-1755
(770) 442-8784
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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